NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
The nurse will be alert to the most potentially life-threatening side effect associated with the administration of monoamine oxidase (MAO) inhibitor. This is:
Correct Answer: B
Rationale: Oculogyric crisis, involuntary upward deviation and fixation of the eyeballs, is usually associated with either postencephalitic parkinsonian or drug-induced extrapyramidal symptoms (EPS). Hypertensive crisis is a potentially life-threatening side effect. This may occur if the client ingests foods, beverages, or medications containing tyramine. Orthostatic hypotension, a drop in blood pressure resulting from a rapid change of body position, can occur with the administration of antidepressants. Tardive dyskinesia, characterized by slow, rhythmical, automatic or stereotyped muscular movements, usually is associated with the administration of certain antipsychotic medications.
Question 2 of 5
The client has an order for Feosol (ferrous sulfate). To promote absorption, the nurse should administer the medication with:
Correct Answer: C
Rationale: Ferrous sulfate absorption is enhanced by vitamin C, found in orange juice, which maintains iron in its reduced form. Milk and meals (especially with calcium or fiber) reduce absorption, and undiluted administration is not standard.
Question 3 of 5
The nurse is teaching a client with a history of diabetes about eye care. The nurse should tell the client to:
Correct Answer: A
Rationale: Regular eye exams detect diabetic retinopathy early, preventing vision loss in diabetes.
Question 4 of 5
A client has been hospitalized with a diagnosis of laryngeal cancer. Which factor is most significant in the development of laryngeal cancer?
Correct Answer: D
Rationale: Alcohol and tobacco use are the most significant risk factors for laryngeal cancer due to their carcinogenic effects on the laryngeal mucosa. Family history, fumes, and vocal strain are less impactful.
Question 5 of 5
A female client was employed as a client care technician in a hemodialysis unit. She recently began to experience extreme fatigue, being able to sleep for 16-20 hours at a time. She also noted that her urine was tea colored, which she rationalized was a result of the vitamins she began taking to alleviate fatigue. She was diagnosed with hepatitis B. After a brief hospital stay, she is discharged to her parent's home. Her mother asks the nurse if any precautions are necessary to prevent transmission to the client's family. The nurse explains necessary precautions, which include:
Correct Answer: B
Rationale: Isolation is not necessary, even in the acute phase. Separate bathroom facilities are recommended. If unavailable, daily cleansing with a chloride solution is recommended. Precautions continue to be necessary while the client is in the active phase of hepatitis. Clothes are to be laundered separately in hot water with a chloride solution.