NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
For the past several months, an elderly female client with Alzheimer's disease has experienced paranoia; hallucinations; and aggressive, disruptive behavior. The family is utilizing haloperidol as needed to control her behavior. On nursing assessment, you note that the client demonstrates involuntary movements of the tongue and fingers. This may most likely indicate:
Correct Answer: A
Rationale: Tardive dyskinesia is a common side effect of antipsychotic medications such as haloperidol. Discontinuing the medication can alleviate symptoms. Although mild tremors are an early sign of Parkinson's disease, haloperidol must be discontinued first and the client further evaluated. These symptoms do not necessarily indicate a more advanced stage of Alzheimer's disease. Most antipsychotic drugs are chemically similar and will produce the same side effects.
Question 2 of 5
The physician decides to prescribe both a short-acting insulin and an intermediate-acting insulin for a newly diagnosed 8-year-old diabetic client. An example of a short-acting insulin is:
Correct Answer: A
Rationale: Novolin is a short-acting insulin. (B,
C) NPH and Lente are intermediate-acting insulins. Protamine zinc insulin is a long-acting insulin preparation.
Question 3 of 5
The physician prescribes phenytoin (Dilantin) for a client with seizure disorders. Phenytoin can only be mixed with which of the following solutions?
Correct Answer: D
Rationale: Phenytoin is compatible only with normal saline and should be mixed only with normal saline for administration.
Question 4 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: Meperidine (opioid) and promethazine (antihistamine) together produce a synergistic effect, enhancing pain relief and sedation. Promethazine potentiates meperidine’s effects.
Question 5 of 5
A client with a history of a stroke is being taught to use a communication board. The nurse should:
Correct Answer: C
Rationale: Placing the communication board on the client’s strong side facilitates use, especially with hemiplegia. Loud speech, complex sentences, and limiting gestures are unhelpful.