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
A 64-year-old client is admitted to the hospital with benign prostatic hypertrophy (BPH). He has a history of adult-onset diabetes and hypertension and is scheduled to undergo a resection of the prostate. When recording his health history, the nurse asks about his chief complaint. The most serious symptom that may accompany BPH is:
Correct Answer: A
Rationale: Acute urinary retention requires urgent medical attention. If measures such as a warm tub bath or warm tea do not occur after 6 hours, the client should go to the ED for catheterization.
Question 3 of 5
Which of the following ECG changes would be seen as a positive myocardial stress test response?
Correct Answer: C
Rationale: Hyperacute T waves occur with hyperkalemia. Prolongation of the PR interval occurs with first-degree AV block. Horizontal ST-segment depression of >1 mm during exercise is definitely a positive criterion on the exercise ECG test. Pathological Q waves occur with MI.
Question 4 of 5
The nurse is administering Dilantin (phenytoin) via a nasogastric (NG) tube. When giving the medication, the nurse should:
Correct Answer: C
Rationale: Flushing the NG tube with 5 mL of normal saline before administering phenytoin ensures tube patency and prevents clogging, maintaining effective delivery.
Question 5 of 5
Which of the following can occur with the frequent use of calcium-based antacids?
Correct Answer: A
Rationale: Calcium-based antacids can cause constipation due to their effect on slowing gastrointestinal motility. Hyperperistalsis and diarrhea are more associated with magnesium-based antacids, and delayed gastric emptying is not a common effect.