NCLEX-RN
Mock NCLEX RN Exam Questions
Extract:
Question 1 of 5
A client with schizophrenia is started on Zyprexa (olanzapine). Three weeks later, the client develops severe muscle rigidity and elevated temperature. The nurse should give priority to:
Correct Answer: D
Rationale: Muscle rigidity and fever suggest neuroleptic malignant syndrome (NMS), a life-threatening reaction to olanzapine. Immediate transfer to a medical unit for urgent treatment is critical.
Question 2 of 5
A client suspects that she is pregnant. She reports two missed menstrual periods. The first day of her last menstrual period was August 3. Her estimated date of confinement would be:
Correct Answer: D
Rationale: Using Nägele's rule (LMP - 3 months + 7 days + 1 year), August 3 leads to an estimated delivery date of May 10.
Question 3 of 5
A client with multiple sclerosis has an order to receive Solu Medrol 200mg IV push. The available dose is Solu Medrol 250 mg per mL. How many mL should the nurse administer?
Correct Answer: 0.8
Rationale: Dose: 200 mg ÷ 250 mg/mL = 0.8 mL. The nurse should administer 0.8 mL.
Question 4 of 5
The nurse is teaching a client with a new diagnosis of gout about dietary modifications. Which food should the client avoid?
Correct Answer: A
Rationale: Shellfish are high in purines, which increase uric acid levels, worsening gout. Apples, carrots, and rice are low-purine foods and safe.
Question 5 of 5
The nurse is teaching a client with a history of migraines about trigger avoidance. The nurse should tell the client to avoid:
Correct Answer: A
Rationale: Chocolate is a common migraine trigger, potentially causing vasoconstriction or neurotransmitter changes, so it should be avoided.