NCLEX-RN
NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug?
Correct Answer: C
Rationale: Carbamazepine can cause bone marrow suppression, leading to leukopenia. A WBC of 4,000/mm^3 is low, indicating a potential serious side effect requiring further evaluation.
Question 2 of 5
A client with a history of diverticulitis complains of abdominal pain, fever, and diarrhea. Which food is responsible for the client's symptoms?
Correct Answer: D
Rationale: Whole-grain cereal, high in fiber, can irritate diverticula, causing inflammation and symptoms like pain, fever, and diarrhea.
Question 3 of 5
The nurse is caring for a client with a history of peptic ulcer disease who is prescribed ranitidine (Zantac). The client asks, “How does this medication help my stomach?” Which of the following responses by the nurse is correct?
Correct Answer: C
Rationale: ranitidine is an H2 receptor blocker that reduces acid production in the stomach
Question 4 of 5
The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?
Correct Answer: B
Rationale: Coolness and discoloration of reimplanted digits indicate compromised blood flow, requiring immediate reporting to prevent tissue loss.
Question 5 of 5
A client with Parkinson's disease is scheduled for stereotactic surgery. Which finding indicates that the surgery had its intended effect?
Correct Answer: A
Rationale: Stereotactic surgery, such as deep brain stimulation, aims to reduce motor symptoms like intractable tremors in Parkinson's disease. It does not directly affect dopamine or serotonin production, and medication is often still required post-surgery.