NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The physician has ordered a homocysteine blood level on a client.
Correct Answer: A
Rationale: Homocysteine levels rise with vitamin B12 deficiency, as B12 is needed for its metabolism. Deficiencies in vitamins C (
B), A (
C), and E (
D) do not significantly affect homocysteine.
Question 2 of 5
The nurse is teaching a client with a history of gout about medication adherence. The nurse should tell the client to:
Correct Answer: A
Rationale: Allopurinol reduces uric acid levels in gout, so adherence is critical to prevent flares.
Question 3 of 5
The usual treatment for diabetes insipidus is with IM or SC injection of vasopressin tannate in oil. Nursing care related to the client receiving IM vasopressin tannate would include:
Correct Answer: D
Rationale: Weight should be obtained daily. Fluid is not restricted but is given according to urine output. The medication does not have to be stored in a refrigerator. Holding the vial under warm water for 10-15 minutes or rolling between your hands and shaking vigorously before drawing medication into the syringe activates the medication in the oil solution.
Question 4 of 5
The nurse is caring for a client with a history of a pulmonary embolism who is receiving Alteplase (Activase). The nurse should:
Correct Answer: A
Rationale: Alteplase, a thrombolytic, increases bleeding risk, requiring close monitoring for signs like hematuria or hematoma. Vitamin K, glucose, and fluid restriction are unrelated.
Question 5 of 5
A toddler with otitis media has just completed antibiotic therapy. A recheck appointment should be made to:
Correct Answer: C
Rationale: A recheck after antibiotic therapy for otitis media confirms resolution of the infection, ensuring no persistent effusion or complications. Hearing tests or new prescriptions are not routinely needed.