NCLEX-RN
NCLEX RN Free Practice Questions Questions
Extract:
Question 1 of 5
The client has an order for Garamycin (gentamicin) to be administered. Which lab test should be done before beginning the medication?
Correct Answer: B
Rationale: Gentamicin, an aminoglycoside, is nephrotoxic. Serum creatinine is monitored before administration to assess baseline kidney function, as impaired renal function increases toxicity risk. Hematocrit, white cell count, and BUN are less specific for gentamicin.
Question 2 of 5
The nurse is teaching a client with a history of chronic sinusitis about self-care. The nurse should tell the client to:
Correct Answer: A
Rationale: A humidifier keeps nasal passages moist, reducing irritation and promoting drainage in chronic sinusitis.
Question 3 of 5
At 32 weeks' gestation, a client is scheduled for a fetal activity test (nonstress test). She calls the clinic and asks the RN, 'How do I prepare for the test I am scheduled for?' The RN will most likely inform her of the following instructions to help prepare her for the test:
Correct Answer: D
Rationale: Any maternal activity can interfere with the results of the nonstress test, as movement may affect fetal heart rate tracings.
Question 4 of 5
A client with a history of breast cancer is admitted with complaints of lymphedema. The nurse should give priority to:
Correct Answer: A
Rationale: Compression therapy reduces swelling in lymphedema post-breast cancer, improving comfort and function.
Question 5 of 5
Clients receiving antipsychotic drug therapy will often exhibit extrapyramidal side effects that are reversible with which of the following agents ordered by the physician?
Correct Answer: B
Rationale: This answer is incorrect. Phenothiazines are antipsychotic drugs and produce the symptoms. This answer is correct. Anticholinergic agents are often used prophylactically for extrapyramidal symptoms. They balance cholinergic activity in the basal ganglia of the brain. This answer is incorrect. Anti-Parkinsonian drugs would increase the symptoms. This answer is incorrect. Tricyclic agents are used for symptoms of depression.