NCLEX-RN
NCLEX RN Questions with Detailed Explanations Questions
Extract:
Question 1 of 5
A client has primary health care provider instructions to take ibuprofen 0.4 g for mild pain. The medication bottle contains ibuprofen 200-mg tablets. How many tablets will the nurse instruct the client to take for each dose? Fill in the blank. tablets
Correct Answer: 2
Rationale:
To determine the number of tablets, divide the prescribed dose by the strength per tablet: 0.4 g = 400 mg; 400 mg ÷ 200 mg per tablet = 2 tablets.
Therefore, the nurse instructs the client to take 2 tablets per dose.
Question 2 of 5
A client with a history of heart failure is prescribed spironolactone (Aldactone). The nurse should monitor the client for which of the following electrolyte imbalances?
Correct Answer: A
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, requiring monitoring.
Question 3 of 5
A nulliparous client says that she and her husband plan to use a diaphragm with spermicide to prevent conception. Which of the following should the nurse include as the action of spermicides when teaching the client?
Correct Answer: A
Rationale: Spermicides destroy spermatozoa before they can enter the cervix, preventing fertilization.
Question 4 of 5
A client is a 43-year-old G2 P1 at 16 weeks' gestation that has completed prenatal testing for chromosomal abnormalities. The results reveal the infant is a female with Down syndrome. The nurse should tell the parents which of the following? Check all that apply.
Correct Answer: A,E,F
Rationale: Down syndrome can occur at any maternal age, is more frequent with advanced maternal age, and results from trisomy 21. It is not related to dominant/recessive traits or prenatal care.
Question 5 of 5
A client with a history of chronic kidney disease is prescribed epoetin alfa (Epogen). The nurse should monitor the client for which of the following adverse effects? Select all that apply.
Correct Answer: A, B, E
Rationale: Epoetin alfa can cause hypertension, thrombosis, and headache due to increased red blood cell production.