NCLEX-RN
NCLEX-RN Exam Questions
Extract:
Question 1 of 5
Which statement is true regarding therapy with Levemir (insulin detemir)?
Correct Answer: D
Rationale: Levemir (insulin detemir) is a long-acting insulin with a duration of up to 24 hours, used for basal coverage. Its onset is 1–2 hours, but it has no distinct peak, and it should not be mixed with other insulins.
Question 2 of 5
A post-operative client has an order for Demerol (meperidine) 75 mg and Phenergan (promethazine) 25 mg IM every 3-4 hours as needed for pain. The combination of the two medications produces a/an:
Correct Answer: B
Rationale: Meperidine (opioid) and promethazine (antihistamine) together produce a synergistic effect, enhancing pain relief and sedation. Promethazine potentiates meperidine’s effects.
Question 3 of 5
The nurse is caring for a client with a history of Ménière’s disease. The nurse should expect the client to have:
Correct Answer: A
Rationale: Ménière’s disease affects the inner ear, causing vertigo, tinnitus, and hearing loss due to fluid imbalance.
Question 4 of 5
The client is admitted with a diagnosis of molar pregnancy. Which diagnostic test is most appropriate?
Correct Answer: C
Rationale: Ultrasound reveals the characteristic “snowstorm” pattern of molar pregnancy and elevated serum hCG levels confirm the diagnosis. Both tests are essential.
Question 5 of 5
A client with hyperthyroidism is taking Eskalith (lithium carbonate) to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client's medication?
Correct Answer: B
Rationale: Increased thirst and urination suggest lithium toxicity, as lithium can cause polyuria and polydipsia. Blurred vision and weight gain are less specific, and rhinorrhea is unrelated.