NCLEX-RN
RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The leukemic client is prescribed a low-bacteria diet. Which does the nurse expect to be included in this diet?
Correct Answer: A
Rationale: A low-bacteria diet includes cooked vegetables like spinach and celery to minimize infection risk, unlike raw foods (lettuce, strawberries, cauliflower) that may harbor bacteria.
Question 2 of 5
A client in labor has been given epidural anesthesia with Marcaine (bupivacaine). To reverse the hypotension associated with epidural anesthesia, the nurse should have which medication available?
Correct Answer: D
Rationale: Epinephrine is used to treat hypotension from epidural anesthesia by increasing blood pressure through vasoconstriction and cardiac stimulation.
Question 3 of 5
The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?
Correct Answer: A
Rationale: Roast beef is a good source of heme iron, which is more easily absorbed, making this meal plan the best choice for a client with iron-deficiency anemia.
Question 4 of 5
A client with schizophrenia is started on Zyprexa (olanzapine). Three weeks later, the client develops severe muscle rigidity and elevated temperature. The nurse should give priority to:
Correct Answer: D
Rationale: Severe muscle rigidity and fever suggest neuroleptic malignant syndrome (NMS), a medical emergency requiring immediate transfer to a medical unit for treatment.
Question 5 of 5
The nurse is administering terbutaline (Brethine) to a client in labor. Prior to administration of the medication, the nurse assesses the client’s pulse to be 144. The nurse’s priority action should be to
Correct Answer: A
Rationale: maternal tachycardia is a side effect of Brethine; other maternal side effects include nervousness, tremors, headache, and possible pulmonary edema; fetal side effects include tachycardia and hypoglycemia; Brethine is usually preferred over ritodrine (Yutopar) because it has minimal effects on blood pressure