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 nurse is teaching a new breastfeeding mother about breast care, but the mother has engorgement and asks if she should quit breastfeeding. Which information should the nurse include? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Continue nursing (
A), massaging breasts (
B), using pain relievers (
D), and noting engorgement resolution in 24-48 hours (E) manage engorgement. Hot compresses (
C) may worsen swelling.
Question 3 of 5
A client was transferred to the hospital unit as a direct admit from a small community hospital. While the nurse is obtaining part of the admission history information, the client suddenly becomes semiconscious. Assessment reveals a systolic BP of 70, heart rate of 130, and respiratory rate of 24. What is the nurse's initial action?
Correct Answer: B
Rationale: The client's symptoms suggest shock (low BP, high HR, elevated RR). Initiating an IV with a large bore needle allows for rapid fluid resuscitation, which is critical. Lowering the bed may worsen perfusion, notifying the physician delays action, and CPR is premature without pulselessness.
Question 4 of 5
The nurse is caring for a 12-year-old client with appendicitis. The client's mother is a Jehovah's Witness and refuses to sign the blood permit. What nursing action is most appropriate?
Correct Answer: D
Rationale: Notifying the physician respects the mother's beliefs while ensuring the medical team addresses the refusal appropriately.
Question 5 of 5
A client seen in the doctor's office for complaints of nausea and vomiting is sent home with directions to follow a clear-liquid diet for the next 24-48 hours. Which of the following is not permitted on a clear-liquid diet?
Correct Answer: C
Rationale: Ice cream is not a clear liquid, as it is opaque and contains dairy.