NCLEX-RN
NCLEX Practice Test RN Questions
Extract:
Question 1 of 5
During burn therapy, morphine is primarily administered IV for pain management because this route:
Correct Answer: B
Rationale: IM injections are unreliable in burn patients due to fluid shifts into interstitial spaces, leading to poor absorption. IV administration ensures dependable absorption and effective pain relief.
Question 2 of 5
The nurse is caring for a client with a suspected fractured hip. Which intervention is most appropriate?
Correct Answer: C
Rationale: Immobilizing the leg prevents further injury and displacement in a suspected hip fracture. Amb
Question 3 of 5
A female client plans to bottle-feed her newborn. Her physician has ordered bromocriptine (Parlodel) to suppress lactation. Which of the following instructions about bromocriptine should be given by the nurse?
Correct Answer: D
Rationale: Bromocriptine inhibits the secretion of prolactin. Hypotension is a side effect of this drug; hypertension is not. Bromocriptine is generally taken for 14 days. The administration of bromocriptine is delayed at least 4 hours postpartum and given only when the client's blood pressure is stable, because it can cause hypotension and syncope.
Question 4 of 5
A client with a history of a peptic ulcer is being discharged. The nurse should teach the client to:
Correct Answer: A
Rationale: Spicy foods can irritate a peptic ulcer, delaying healing. Small meals, avoiding lying down post-meals, and limiting caffeine are also recommended.
Question 5 of 5
The nurse would need to monitor the serum glucose levels of a client receiving which of the following medications, owing to its effects on glycogenolysis and insulin release?
Correct Answer: D
Rationale: Norepinephrine's side effects are primarily related to safe, effective care environment and include decreased peripheral perfusion and bradycardia. Dobutamine's side effects include increased heart rate and blood pressure, ventricular ectopy, nausea, and headache. Propranolol's side effects include elevated blood urea nitrogen, serum transaminase, alkaline phosphatase, and lactic dehydrogenase. Epinephrine increases serum glucose levels by increasing glycogenolysis and inhibiting insulin release. Prolonged use can elevate serum lactate levels, leading to metabolic acidosis, increased urinary catecholamines, false elevation of blood urea nitrogen, and decreased coagulation time.