NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
Two hours after the second injection of haloperidol, a client complains to the nurse of a stiff neck and inability to sit still. He is experiencing symptoms consistent with:
Correct Answer: B
Rationale: Stiff neck is consistent with a dystonic reaction, but the client has no symptoms of drooling, shuffling gait, or pill-rolling movements characteristic of parkinsonism. Stiff neck is consistent with a dystonic reaction, and inability to sit still with varying degrees of psychomotor agitation is characteristic of akathisia. The client has symptoms of dystonia but not of parkinsonism. The client has none of the characteristic symptoms of neuroleptic malignant syndrome: hyperpyrexia, generalized muscle rigidity, mutism, obtundation, agitation, sweating, increased blood pressure and pulse.
Question 2 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). Which oxygen delivery method is most appropriate?
Correct Answer: A
Rationale: A nasal cannula at 2 L/min is appropriate for COPD to maintain oxygenation without suppressing the hypoxic respiratory drive. Higher flow rates or masks risk hypercapnia.
Question 3 of 5
The physician prescribes a medical regimen of isoniazid, rifampin, and vitamin B6 for a tuberculosis client. The nurse instructs the client that B6 is given because it:
Correct Answer: D
Rationale: Isoniazid leads to Vitamin B6 deficiency, which is manifested as peripheral neuropathy.
Question 4 of 5
The physician has prescribed tranylcypromine sulfate (Parnate) 10 mg bid. The nurse should teach the client to refrain from eating foods containing tyramine because it may cause:
Correct Answer: A
Rationale: Tranylcypromine, a monoamine oxidase inhibitor, can cause a hypertensive crisis if tyramine-rich foods (e.g., aged cheese, wine) are consumed, due to tyramine’s effect on norepinephrine release. The other effects are not associated with this interaction.
Question 5 of 5
Continuous bladder irrigations are ordered for a patient following a TURP. The purpose of continuous bladder irrigations is to:
Correct Answer: A
Rationale: Continuous bladder irrigation after a transurethral resection of the prostate (TURP) prevents blood clot formation by flushing the bladder, reducing the risk of obstruction. It is not for medication delivery, pain prevention, or bladder tone maintenance.