NCLEX-RN
NCLEX RN Practice Questions
Extract:
Question 1 of 5
The physician has ordered Eskalith (lithium carbonate) 500 mg three times a day and Risperdal (risperidone) 2 mg twice daily for a client admitted with bipolar disorder, acute manic episodes. The best explanation for the client's medication regimen is:
Correct Answer: B
Rationale: Risperidone controls acute manic symptoms like agitation, while lithium stabilizes mood over time, a common combination for bipolar mania.
Question 2 of 5
The Z-track injection technique should be used with which of the following? Select all that apply.
Correct Answer: A,B,D
Rationale: Z-track is used for iron (
A), haloperidol (
B), and hydroxyzine (
D) to prevent leakage and irritation. Heparin (
C) and insulin (E) use standard subcutaneous techniques.
Question 3 of 5
Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous pyelogram?
Correct Answer: B
Rationale: Asking about shellfish allergies is critical, as iodine-based contrast used in IVP can cause severe allergic reactions in those with shellfish or iodine allergies.
Question 4 of 5
Twenty-four hours after an uncomplicated labor and delivery, a client's WBC is 12,000 cu/mm. The elevation in the client's WBC is most likely an indication of:
Correct Answer: A
Rationale: A WBC of 12,000 cu/mm post-delivery is a normal physiological response to the stress of labor and delivery.
Question 5 of 5
Which is true regarding the administration of antacids?
Correct Answer: C
Rationale: Antacids can interfere with the absorption of other medications, so they should be given separately.