NCLEX-RN
NCLEX RN Practice Questions PDF Questions
Extract:
Question 1 of 5
Clients taking anticholinergic drugs, such as benztropine mesylate (Cogentin), to relieve muscle tremors and muscle rigidity associated with Parkinson disease should be advised to avoid which of the following?
Correct Answer: A
Rationale: Anticholinergics like benztropine reduce sweating, increasing the risk of overheating (
A). Overeating (
B), excessive fluids (
C), or skipping meals (
D) are not directly related to anticholinergic side effects.
Question 2 of 5
The nurse is caring for a patient with a colostomy. The patient asks, 'Will I ever be able to swim again?' The nurse's best response would be:
Correct Answer: A
Rationale: Swimming is possible with a colostomy if proper precautions, like a waterproof seal, are used to protect the stoma.
Question 3 of 5
The nurse has orders for dopamine at 20 mcg/kg/min. The bag has 500 mg of dopamine in 500 mL. The client weighs 60 kg. What rate will the nurse set?
Correct Answer: 72 mL/hr
Rationale: Dose: 20 mcg/kg/min × 60 kg = 1200 mcg/min. Concentration: 500 mg/500 mL = 1 mg/mL = 1000 mcg/mL. Rate: 1200 mcg/min ÷ 1000 mcg/mL = 1.2 mL/min × 60 min/hr = 72 mL/hr.
Question 4 of 5
The nurse is performing an assessment on a client with possible pernicious anemia. Which data would support this diagnosis?
Correct Answer: C
Rationale: A red, beefy tongue is a classic sign of pernicious anemia due to vitamin B12 deficiency affecting mucosal tissues.
Question 5 of 5
A client has been receiving cyanocobalamine (B12) injections for the past six weeks. Which laboratory finding indicates that the medication is having the desired effect?
Correct Answer: D
Rationale: Increased reticulocyte count indicates effective B12 therapy for anemia.