NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
A type I diabetic client delivers a male newborn. The newborn is 45 minutes old. What is the primary nursing goal in the nursery during the first hours for this newborn?
Correct Answer: B
Rationale: The infant will be at risk for hypoglycemia because of excess insulin production.
Question 2 of 5
A 26-year-old client is diagnosed with an astrocytoma, a benign brain tumor. From the nurse's knowledge of the central nervous system, the nurse knows that benign tumors:
Correct Answer: A
Rationale: Both a benign and a malignant tumor can displace or destroy nearby structures or increase intracranial pressure.
Question 3 of 5
A laboratory technique specific for diagnosing Lyme disease is:
Correct Answer: A
Rationale: Polymerase chain reaction is the laboratory technique specific for Lyme disease. Heterophil antibody test is used to diagnose mononucleosis. Lyme disease does not decrease the serum calcium level. Lyme disease does not increase the serum potassium level.
Question 4 of 5
The nurse is caring for a client diagnosed with metastatic cancer of the bone. The client is exhibiting mental confusion and a BP of 150/100. Which laboratory value would correlate with the client's symptoms reflecting a common complication with this diagnosis?
Correct Answer: B
Rationale: Hypercalcemia (calcium 13 mg/dL) is a common complication of bone metastases, causing confusion and hypertension. Hyperkalemia (
A), low phosphorus (
C), and normal sodium (
D) are less likely causes.
Question 5 of 5
The physician orders medication for a client's unpleasant side effects from the haloperidol. The most appropriate drug at this time is:
Correct Answer: C
Rationale: Lorazepam is a benzodiazepine, or antianxiety agent, that potentiates the effects of -aminobutyric acid in the CNS, which is not the CNS neurotransmitter EPS. Triazolam is a benzodiazepine sedative-hypnotic whose action is mediated in the limbic, thalamic, and hypothalamic levels of the CNS by -aminobutyric acid. Benztropine is an anticholinergic agent, and the drug of choice for blocking CNS synaptic response, which causes EPS. Thiothixene is an antipsychotic and neuroleptic drug that blocks dopamine neurotransmission at the CNS synapses, thereby causing EPS.