NCLEX-RN
Practice NCLEX RN Test Questions
Extract:
Question 1 of 5
The physician prescribes captopril (Capoten) 25 mg po tid for the client with hypertension. Which of the following adverse reactions can occur with administration of Capoten?
Correct Answer: B
Rationale: Captopril, an ACE inhibitor, commonly causes a persistent dry cough.
Question 2 of 5
The physician has ordered intubation and mechanical ventilation for a client with periods of apnea following a closed head injury. Arterial blood gases reveal a pH of 7.47, PCO2 of 28, and HCO3 of 23. These findings indicate that the client has:
Correct Answer: B
Rationale: A pH of 7.47 and PCO2 of 28 indicate respiratory alkalosis, likely due to hyperventilation from the head injury.
Question 3 of 5
A 60-year-old diabetic is taking glyburide (Diabeta) 1.25 mg daily to treat Type II diabetes mellitus. Which statement indicates the need for further teaching?
Correct Answer: C
Rationale: Skipping meals while on glyburide increases hypoglycemia risk, indicating a need for further teaching.
Question 4 of 5
The nurse is caring for a 28-year-old female with a long history of heroin addiction. The client tells the nurse that she started off using a small amount recreationally, but as time went on, she needed more and more heroin to feel a high. The nurse recognizes this as
Correct Answer: C
Rationale:
Tolerance is the need for increasing doses to achieve the same effect, as described in the client’s heroin use.
Question 5 of 5
The nurse is caring for an 8-year-old following a routine tonsillectomy. Which finding should be reported immediately?
Correct Answer: D
Rationale: Respiratory stridor post-tonsillectomy indicates airway obstruction, a life-threatening complication requiring immediate reporting.