NCLEX-RN
NCLEX RN Practice Questions Free Questions
Extract:
Question 1 of 5
Which of the following medications requires close observation for bronchospasm in the client with chronic obstructive pulmonary disease or asthma?
Correct Answer: D
Rationale: Verapamil has the respiratory side effect of nasal or chest congestion, dyspnea, shortness of breath (SO
B), and wheezing. Amrinone has the effect of increased contractility and dilation of the vascular smooth muscle. It has no noted respiratory side effects. Epinephrine has the effect of bronchodilation through stimulation. Propranolol, esmolol, and labetalol are -blocking agents, which can increase airway resistance and cause bronchospasms.
Question 2 of 5
The nurse is caring for a client who has diabetes insipidus. The nurse would describe this client's urine output pattern as:
Correct Answer: D
Rationale: Polyuria is a primary symptom of diabetes insipidus. These clients have decreased or absent vasopressin secretion, which causes water loss in the urine and sodium increases.
Question 3 of 5
A client is to be discharged from the hospital and is to continue taking warfarin 2.5 mg po bid. Which of the following should be included in her discharge teaching concerning the warfarin therapy?
Correct Answer: C
Rationale: Warfarin must always be taken exactly as directed. Clients should be instructed never to skip or double up on their dosage. Aspirin decreases platelet aggregation, which would potentiate the effects of the coumadin. Healthcare providers need to be aware of persons on warfarin therapy prior to the initiation of any diagnostic tests and/or surgery to help prevent bleeding complications. An electric razor should be used to prevent accidental cutting, which can lead to bleeding.
Question 4 of 5
What information should the nurse give a new mother regarding the introduction of solid foods for her infant?
Correct Answer: B
Rationale: Introducing solid foods one at a time with 4-7 day intervals allows identification of allergies. The extrusion reflex fades by 4-6 months, and mixing in bottles or starting with fruits is not recommended.
Question 5 of 5
Which of the following activities have been associated with an increase in lead exposure?
Correct Answer: A, C, D, F
Rationale: Lead exposure risks include stained glass work (
A), restoring old toys (
C), decorative mugs (
D), and pre-1950 homes (F) due to lead-based paint or glazes. Disposable bottles (
B) and non-stick cookware (E) are not significant sources.