NCLEX-RN
Practice NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client has been placed on the drug valproic acid (Depakene). Which would indicate to the nurse that the client is experiencing an adverse reaction to this medication?
Correct Answer: C
Rationale: Lethargy is a common adverse reaction to valproic acid, indicating potential toxicity or side effects, requiring further evaluation.
Question 2 of 5
Which of the following statements best explains the rationale for placing the client in Trendelenburg position during the insertion of a central line catheter?
Correct Answer: A
Rationale: The Trendelenburg position increases venous filling in the upper body, making the subclavian or jugular veins easier to access for catheter insertion.
Question 3 of 5
The nurse is caring for a client receiving TPN. The nurse understands that TPN management includes which of the following? Select all that apply.
Correct Answer: A, B, C
Rationale: Monitoring weights, intake/output, electrolytes, glucose, and changing tubing per protocol are standard TPN management practices. Dressings are typically changed every 7 days or per protocol, and D10W/D20W are not suitable substitutes for TPN.
Question 4 of 5
A pregnant woman has experienced repeated vaginal monilial infections. When educating the client about the infection, which information should the nurse include? Select all that apply.
Correct Answer: A,B,C
Rationale: Daily bathing (
A), understanding estrogen's role in yeast growth (
B), and wearing cotton panties (
C) help manage monilial infections. Panty liners (
D) may trap moisture, and avoiding panties (E) is impractical.
Question 5 of 5
An elderly preoperative client seems very anxious but denies concerns when the nurse asks; however, the client's son confides that the client is very superstitious and believes it is bad luck that he is in room 113. Which of the following actions is the best response?
Correct Answer: B
Rationale: Reassigning the client to a different room (
B) addresses the client's anxiety by respecting his superstitious beliefs, promoting comfort. Reassurance (
A), medication (
C), or family presence (
D) may not fully alleviate the specific concern.