NCLEX RN Practice Tests
Question 1 of 5.
Physician's orders for a client with acute pancreatitis include the following: strict NPO and nasogastric tube to low intermittent suction. The nurse recognizes that witholding oral intake will:
A. Reduce the secretion of pancreatic enzymes
B. Decrease the client's need for insulin
C. Prevent the secretion of gastric acid
D. Eliminate the need for pain medication
Explanation: Withholding oral intake (NPO) reduces stimulation of the pancreas, thereby decreasing the secretion of pancreatic enzymes that can exacerbate pancreatitis.
Question 2 of 5.
Prochlorperazine maleate (Compazine) 10 mg IM has been ordered for a client. The client is also to receive Stadol 2 mg IM. Before administering these medications, the nurse should
A. obtain respirations and temperature.
B. dilute with 9 ml of NS.
C. draw the medications in separate syringes.
D. verify the route of administration.
Explanation: Compazine should be considered incompatible in a syringe with all other medications
Question 3 of 5.
When using restraints for an agitated/aggressive patient, which of the following statements should NOT influence the nurse’s actions during this intervention?
A. The restraints/seclusion policies set forth by the institution.
B. The patient’s competence.
C. The patient’s voluntary/involuntary status.
D. The patient’s nursing care plan.
Explanation: the need for restraints is based on patient’s behavioral status and condition, not the patient’s voluntary/involuntary status
Question 4 of 5.
A client has been taking perphenazine (Trilafon) by mouth for two days and now displays the following: head turned to the side, neck arched at an angle, stiffness and muscle spasms in neck. The nurse would expect to give which of the following as a PRN medication?
A. Promazine (Sparine).
B. Biperiden (Akineton).
C. Thiothixene (Navane).
D. Haloperidol (Haldol).
Explanation: is an antiparkinsonian agent, used to counteract extrapyramidal side effects the client is experiencing
Question 5 of 5.
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with an acute exacerbation. The nurse notes that the client has a respiratory rate of 28 breaths per minute, is using accessory muscles, and has oxygen saturation of 88% on 2 L/min of oxygen via nasal cannula. Which of the following actions should the nurse take FIRST?
A. Increase the oxygen flow to 4 L/min.
B. Administer a bronchodilator as ordered.
C. Place the client in a high Fowler’s position.
D. Obtain an arterial blood gas (ABG) sample.
Explanation: positioning in high Fowler’s facilitates breathing and improves oxygenation immediately; other actions may follow based on further assessment
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