NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A post-operative client has an order for Demerol (meperidine) 75 mg and Phenergan (promethazine) 25 mg IM every 3-4 hours as needed for pain. The combination of the two medications produces a/an:
Correct Answer: B
Rationale: Demerol (opioid) and Phenergan (antihistamine) together produce a synergistic effect, enhancing pain relief and sedation beyond the sum of their individual effects.
Question 2 of 5
The nurse is providing post-op education to a client who had a splenectomy. Which statement by the client indicates that the nurse's teaching was successful?
Correct Answer: D
Rationale: Post-splenectomy clients are at risk for infections and require vaccines like influenza, pneumococcal, and meningococcal, indicating successful teaching.
Question 3 of 5
A client is brought to the emergency room by the police. He is combative and yells, 'I have to get out of here. They are trying to kill me.' Which assessment is most likely correct in relation to this statement?
Correct Answer: C
Rationale: The client's statement reflects paranoid delusions, a belief that others intend harm, common in psychotic disorders.
Question 4 of 5
A young male client who has recently become a quadriplegic makes a sexually inappropriate comment to the nurse. Which of the following statements by the nurse would be most appropriate?
Correct Answer: A
Rationale: Addressing the inappropriate comment directly sets clear boundaries while maintaining professionalism.
Question 5 of 5
A client with schizophrenia has been taking Thorazine (chlorpromazine) 200 mg four times a day. Which finding should be reported to the doctor immediately?
Correct Answer: C
Rationale: A sore throat may indicate agranulocytosis, a serious side effect of chlorpromazine, requiring immediate reporting.