NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with an acoustic neuroma brain tumor. The location of this tumor warrants which of the following nursing diagnosis as the highest priority?
Correct Answer: D
Rationale: An acoustic neuroma affects the vestibulocochlear nerve, causing balance and hearing issues, increasing fall risk. High risk for injury is the priority due to potential for harm.
Question 2 of 5
An elderly client with glaucoma has been prescribed Timoptic eyedrops. Timoptic should be used with caution in clients with a history of:
Correct Answer: C
Rationale: Timoptic (timolol), a beta-blocker, should be used cautiously in clients with emphysema, as it can exacerbate respiratory conditions.
Question 3 of 5
The nurse is admitting a client with a suspected duodenal ulcer. The client will most likely report that his abdominal discomfort decreases when he:
Correct Answer: C
Rationale: Eating a meal or snack neutralizes stomach acid, temporarily relieving discomfort in duodenal ulcers.
Question 4 of 5
A client is diagnosed with emphysema and cor pulmonale. Which findings are characteristic of cor pulmonale?
Correct Answer: D
Rationale: Cor pulmonale, right heart failure from lung disease, causes edema of the lower extremities and distended neck veins due to increased venous pressure.
Question 5 of 5
The doctor has ordered Ampicillin 100 mg every 6 hours IV push for an infant weighing 7 kg. The suggested dose for infants is 25-50 mg/kg/day in equally divided doses. The nurse should:
Correct Answer: D
Rationale: The ordered dose (400 mg/day) exceeds the safe range (175-350 mg/day for a 7 kg infant), requiring the nurse to verify the order with the doctor.