NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
Hyperstat (diazoxide) is ordered for a patient with hypertension. Which side effect is associated with the medication?
Correct Answer: C
Rationale: Diazoxide used for hypertensive emergencies can cause fluid retention and increased urinary frequency due to its diuretic-like effects. Photophobia numbness and alopecia are not commonly associated with this medication.
Question 2 of 5
The physician has ordered Basaljel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication, which include:
Correct Answer: A
Rationale: Aluminum-based antacids like Basaljel commonly cause constipation by slowing intestinal motility. Urinary retention, diarrhea, and confusion are not typical side effects.
Question 3 of 5
A 16-year-old diabetic girl has been selected as a cheerleader at her school. She asks the nurse whether she should increase her insulin when she is planning to attend cheerleading practice sessions lasting from 8 to 11 AM. The most appropriate answer would be:
Correct Answer: D
Rationale: A nurse can give this information to a client. Exercise makes insulin more efficient in moving more glucose into the cells. No more insulin is needed. Exercise makes insulin more efficient unless the diabetes is poorly controlled. Exercise makes insulin more efficient in moving more glucose into the cells.
Question 4 of 5
A client with a head injury has an intracranial pressure (ICP) monitor in place. Cerebral perfusion pressure calculations are ordered. If the client's ICP is 22 and the mean pressure reading is 70, what is the client's cerebral perfusion pressure?
Correct Answer: 58
Rationale: Cerebral perfusion pressure (CPP) is calculated as CPP = MAP - ICP. Given MAP = 70 mmHg and ICP = 22 mmHg, CPP = 70 - 22 = 48 mmHg. Thus, the correct answer is 48.
Question 5 of 5
During a client's first postpartum day, the nurse assessed that the fundus was located laterally to the umbilicus. This may be due to:
Correct Answer: D
Rationale: (A,
B) Endometritis, urine retention, or bladder distention provide good distractors because they may delay involution but do not usually cause the uterus to be lateral. Bowel distention and constipation are common in the postpartum period but do not displace the uterus laterally. Urine retention or bladder distention commonly displaces the uterus to the right and may delay involution.