NCLEX-RN
NCLEX-RN Exam Practice Questions
Extract:
Question 1 of 5
The nurse is performing an admission assessment on a client with a history of glaucoma. Which medication is the client most likely taking?
Correct Answer: B
Rationale: Timolol, a beta-blocker eye drop, is commonly used to reduce intraocular pressure in glaucoma. Lasix, Norvasc, and Zestril treat other conditions (edema, hypertension).
Question 2 of 5
Which of the following changes in blood pressure readings should be of greatest concern to the nurse when assessing a prenatal client?
Correct Answer: D
Rationale: (A, B,
C) The individual's systolic and diastolic changes are more significant than the relatively high initial blood pressure readings. The systolic pressure went up 12 mm Hg and the diastolic pressure 18 mm Hg. This is a more significant rise than the increases in A-C choices, and client should receive more frequent evaluations and care.
Question 3 of 5
A 33-year-old client is diagnosed with bipolar disorder, acute phase. This is her first psychiatric hospitalization, and she is being evaluated for treatment with lithium. Which of the following diagnostic tests are essential prior to the initiation of lithium therapy with this client?
Correct Answer: B
Rationale: These are general diagnostic blood studies (usually done on admission), but they are not reliable indicators of lithium therapy clearance. These are the primary diagnostic tests to determine kidney functioning. Because lithium is excreted through the kidneys and because it can be very toxic, adequate renal function must be ascertained before therapy begins. These are diagnostic blood tests used to determine the presence of endocrine (not renal) dysfunction. These are other types of diagnostic procedures used to determine musculoskeletal, neural, and cardiac (rather than renal) functioning.
Question 4 of 5
The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?
Correct Answer: A
Rationale: MRSA (methicillin-resistant Staphylococcus aureus) requires contact precautions and a private room to prevent transmission. Diabetes pancreatitis and Addison’s disease do not require isolation unless other infectious conditions are present.
Question 5 of 5
The nurse is caring for a client following a Whipple procedure. The nurse should give priority to assessing for:
Correct Answer: B
Rationale: The Whipple procedure involves pancreatic resection, increasing the risk of hypoglycemia due to altered insulin production, making this a priority assessment.