NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse is assessing a client with suspected hypoglycemia. Which finding is most consistent with this condition?
Correct Answer: A
Rationale: Hypoglycemia causes sympathetic activation, leading to tremors and sweating as the body attempts to raise glucose levels. Chest pain, fever, and bradycardia are not typical.
Question 2 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 3 of 5
The nurse is teaching a client with a history of allergic rhinitis about self-care. The nurse should tell the client to:
Correct Answer: A
Rationale: Avoiding allergens reduces symptoms in allergic rhinitis, such as sneezing and nasal congestion.
Question 4 of 5
A 20-year-old female has a prescription for Sumycin (tetracycline). While teaching the client how to take her medicine, the nurse learns that the client is also taking an oral contraceptive. Which instruction should be included in the teaching plan?
Correct Answer: D
Rationale: Tetracyclines can reduce the effectiveness of oral contraceptives by altering gut flora, affecting estrogen metabolism. This increases the risk of unintended pregnancy, requiring backup contraception.
Question 5 of 5
A husband asks if he can visit with his wife on her ECT treatment days and what to expect after the initial treatment. The nurse's best response is:
Correct Answer: D
Rationale: A family member is encouraged to stay with the client after return to the unit. The nurse has used an opportunity to do family teaching and allay fears by explaining temporary side effects of the treatment.