NCLEX-RN
Mock NCLEX RN Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of myasthenia gravis. Which medication should the nurse anticipate being prescribed?
Correct Answer: A
Rationale: Pyridostigmine, a cholinesterase inhibitor, is used to treat myasthenia gravis by improving neuromuscular transmission. The other medications are for seizures, hypertension, or arthritis, not myasthenia.
Question 2 of 5
Seven days ago, a 45-year-old female client had an ileostomy. She is self-sufficient and well otherwise. Which of the following long-term objectives would be unrealistic?
Correct Answer: A
Rationale: Because of the location of an ileostomy, the client will not be able to control the evacuation of her bowels. The ileostomy will drain liquid stool continuously. The client should be able to return to a normal, well-balanced diet. She should avoid foods that cause diarrhea or excessive gas production, and she should eat small meals. The client should be able to resume sexual activity. She will be able to wear a pouch. The client has no other health or mental problems and should be able to manage her own ileostomy.
Question 3 of 5
A client suffering from schizophrenia has been taking chlorpromazine (Thorazine) for 6 months. On one of his follow-up visits to the mental health center, the nurse reports to the physician that he has developed tardive dyskinesia. Which of the following symptoms might she have observed in the client to support this conclusion?
Correct Answer: B
Rationale: These symptoms are found in clients with tardive dyskinesia.
Question 4 of 5
The nurse is caring for a client with a diagnosis of placenta accreta. Which intervention is most appropriate?
Correct Answer: A
Rationale: Placenta accreta often prevents placental separation leading to severe hemorrhage during delivery which may necessitate hysterectomy.
Tocolytics fetal monitoring and antibiotics are not primary interventions for this condition.
Question 5 of 5
A client with a history of atrial flutter is admitted with complaints of dizziness. The nurse should give priority to:
Correct Answer: A
Rationale: Atrial flutter causes rapid heart rates, which can lead to dizziness due to reduced cardiac output, so monitoring heart rate is the priority.