NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
Which vitamin should be administered with INH (isoniazid) in order to prevent possible nervous system side effects?
Correct Answer: C
Rationale: Isoniazid can cause peripheral neuropathy by depleting vitamin B6 (pyridoxine), so supplemental pyridoxine is given to prevent this side effect.
Question 2 of 5
The nurse will be alert to the most potentially life-threatening side effect associated with the administration of monoamine oxidase (MAO) inhibitor. This is:
Correct Answer: B
Rationale: Oculogyric crisis, involuntary upward deviation and fixation of the eyeballs, is usually associated with either postencephalitic parkinsonian or drug-induced extrapyramidal symptoms (EPS). Hypertensive crisis is a potentially life-threatening side effect. This may occur if the client ingests foods, beverages, or medications containing tyramine. Orthostatic hypotension, a drop in blood pressure resulting from a rapid change of body position, can occur with the administration of antidepressants. Tardive dyskinesia, characterized by slow, rhythmical, automatic or stereotyped muscular movements, usually is associated with the administration of certain antipsychotic medications.
Question 3 of 5
Parents should be taught not to prop the bottle when feeding their infants. In addition to the risk of choking, it puts the infant at risk for:
Correct Answer: A
Rationale: Because the eustachian tube is short and straight in the infant, formula that pools in the back of the throat attacks bacteria which can enter the middle ear and cause an infection. Asthma is not associated with propping the bottle. Conjunctivitis is an eye infection and not associated with propping the bottle.
Tonsillitis is usually a result of pharyngitis and not propping the bottle.
Question 4 of 5
A 29-year-old client is diagnosed with borderline personality disorder. He has aroused the nurse's anger by using a condescending tone of voice with other clients and staff persons. Which of the following statements from the nurse would be most appropriate in acknowledging feelings regarding the client's behavior?
Correct Answer: A
Rationale: The nurse appropriately states how he or she feels when the client speaks in a condescending manner. This statement indicates that the client has control over the nurse. No one makes another person angry; each individual has a choice. 'Why' questions usually put a person on the defensive. In addition, the client cannot 'make' the nurse angry. The client does not have that control. Again, a 'why' statement places the client on the defensive.
Question 5 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.