NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A client with schizoaffective disorder is exhibiting Parkinsonian symptoms. Which medication is responsible for the development of Parkinsonian symptoms?
Correct Answer: A
Rationale: Zyprexa, an antipsychotic, can cause extrapyramidal symptoms like Parkinsonism due to dopamine receptor blockade.
Question 2 of 5
The family of a hospice client wishes to visit at midnight. Which of the following actions by the nurse would be the most appropriate?
Correct Answer: D
Rationale: In hospice care, allowing family visits at any time supports the client’s and family’s emotional needs, especially near end-of-life.
Question 3 of 5
A client has been prescribed tetracycline (Sumycin) for Lyme disease. All of the following statements indicate successful client teaching regarding this medication EXCEPT
Correct Answer: A
Rationale: Tetracycline should not be taken with antacids, as they reduce absorption. The other statements are correct: pregnancy is a contraindication, photosensitivity requires sunscreen, and dairy products interfere with absorption.
Question 4 of 5
A client with hyperkalemia is admitted to the telemetry unit. Which of the following would require notification of the health care provider? Select all that apply.
Correct Answer: A, B
Rationale: Spiked T waves and bradycardia (heart rate 53) are signs of severe hyperkalemia, requiring immediate provider notification. Normal heart rate, food refusal, and adequate urinary output (30 cc/hr) are not urgent.
Question 5 of 5
The nurse is caring for a postpartum client. Which of the following assessment findings would be a reason for concern during the client's postpartum stay?
Correct Answer: C
Rationale: Vaginal discharge should progress from rubra to serosa to alba. Reverting to rubra suggests possible retained placental fragments or bleeding, a cause for concern.