NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is assessing a client with suspected multiple sclerosis. Which of the following findings would the nurse expect?
Correct Answer: B
Rationale: vision changes and muscle weakness are common symptoms of multiple sclerosis due to demyelination
Question 2 of 5
A post-operative client has an order for Demerol (meperidine) 75 mg and Phenergan (promethazine) 25 mg IM every 3-4 hours as needed for pain. The combination of the two medications produces a/an:
Correct Answer: B
Rationale: Demerol (opioid) and Phenergan (antihistamine) together produce a synergistic effect, enhancing pain relief and sedation beyond the sum of their individual effects.
Question 3 of 5
A client with paranoid schizophrenia is brought to the hospital by her elderly parents. During the assessment, the client's mother states, 'Sometimes she is more than we can manage.' Based on the mother's statement, the most appropriate nursing diagnosis is:
Correct Answer: B
Rationale: The mother's statement suggests caregiver role strain due to the ongoing stress of managing the client's schizophrenia symptoms.
Question 4 of 5
A client has been diagnosed with Parkinson disease and has been prescribed levodopa. Which of the following are contraindications to levodopa? Select all that apply.
Correct Answer: A,D
Rationale: Levodopa is contraindicated in narrow-angle glaucoma (
A) due to pupil dilation and melanoma (
D) due to potential tumor activation. Macular degeneration (
B), pregnancy (
C), and cataracts (E) are not contraindications.
Question 5 of 5
A client with a diagnosis of passive-aggressive personality disorder is seen at the local mental health clinic. A common characteristic of persons with passive-aggressive personality disorder is:
Correct Answer: B
Rationale: Passive-aggressive personality disorder is characterized by underlying hostility expressed indirectly through behaviors like procrastination, stubbornness, or intentional inefficiency.