NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The client is prescribed tamsulosin (Flomax) for benign prostatic hyperplasia. Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Tamsulosin, an alpha-blocker, causes vasodilation, leading to orthostatic hypotension as a common side effect. Hypotension (not hypertension), bradycardia, and hyperglycemia are less likely.
Question 2 of 5
A client newly diagnosed with diabetes is started on Precose (acarbose). The nurse should tell the client that the medication should be taken:
Correct Answer: C
Rationale: Acarbose delays carbohydrate absorption and should be taken with the first bite of a meal to be effective. Taking it before, after, or at bedtime is less effective.
Question 3 of 5
After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tray, she tells the nurse that she hates broccoli and wants some corn on the cob. The nurse's appropriate response is:
Correct Answer: B
Rationale: Vegetable exchanges are allowed within the same group to maintain nutritional balance. Corn is classified as a starchy vegetable and counts as a bread exchange due to its carbohydrate content, which affects blood glucose levels. Not all vegetables are interchangeable; starchy vegetables like corn have different nutritional impacts than non-starchy ones like broccoli. Limiting to half an ear does not address the dietary classification and could confuse the child about proper exchanges.
Question 4 of 5
A client is having an amniocentesis. Prior to the procedure, an ultrasound is performed. In preparing the client, the nurse explains the reason for a sonogram in this situation to be:
Correct Answer: C
Rationale: Prior to amniocentesis, the abdomen is scanned by ultrasound to locate the placenta, thus reducing the possibility of penetrating it with the spinal needle used to obtain amniotic fluid.
Question 5 of 5
The nurse is caring for a client following a right nephrolithotomy. Post-operatively, the client should be positioned:
Correct Answer: C
Rationale: Positioning on the left side helps reduce pressure on the surgical site (right kidney) and promotes drainage and comfort post-nephrolithotomy.