NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of bipolar disorder who is admitted during a manic episode. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: a quiet, low-stimulation environment helps reduce agitation and promote safety during a manic episode
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
The nurse is caring for a client taking vancomycin. The nurse anticipates drawing a peak and trough on this client. Which statement regarding peak and trough levels is correct?
Correct Answer: A
Rationale: The peak is drawn 1 hour after infusion to measure maximum concentration, and the trough is drawn just before the next dose to measure minimum concentration.
Question 4 of 5
The nurse should be particularly alert for which one of the following problems in a client with barbiturate overdose?
Correct Answer: C
Rationale: Barbiturate overdose primarily causes respiratory depression, leading to apnea, which is life-threatening and requires immediate intervention.
Question 5 of 5
The nurse is caring for a client with a retained placenta following a noneventful vaginal birth of a full-term infant. The nurse understands which of the following is true regarding a retained placenta?
Correct Answer: C
Rationale: Removing retained placental fragments reduces infection and hemorrhage risks. Imaging is not typically used, nitroglycerin is rare, and the uterus may feel boggy, not firm.