NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client is taking nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain from rheumatoid arthritis. What instruction should the nurse give the client about NSAIDs?
Correct Answer: A
Rationale: Taking NSAIDs with food and fluids reduces gastrointestinal irritation, a common side effect. Gradual dose reduction, mouth rinsing, or avoiding driving are not standard instructions for NSAIDs.
Question 2 of 5
A client with a diagnosis of rheumatoid arthritis is prescribed tofacitinib (Xeljanz). The nurse should monitor the client for which of the following side effects?
Correct Answer: A
Rationale:
Tofacitinib, a JAK inhibitor, increases the risk of infections due to immune suppression.
Question 3 of 5
Intravenous 5% albumin is prescribed for a client with burns of the anterior chest and both legs. The nurse contacts the primary health care provider before administering the human albumin if which are noted in the client's record? Select all that apply.
Correct Answer: A,D
Rationale: Five percent albumin is classified as a blood derivative and is contraindicated in severe anemia, cardiac failure, history of allergic reaction, renal insufficiency, and when no albumin deficiency is present. It is used with caution in clients with low cardiac reserve, pulmonary disease, or hepatic or renal failure.
Question 4 of 5
One of the roles of the registered nurse in terms of informed consent is to:
Correct Answer: A
Rationale: The nurse's role in informed consent includes serving as a witness to the client's signature , confirming that the client signed voluntarily after being informed. The nurse does not obtain the consent or involve the durable power of attorney in signing .
Question 5 of 5
A client with a history of schizophrenia is prescribed risperidone (Risperdal). The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A
Rationale: Risperidone can cause extrapyramidal symptoms, such as tremors and rigidity, requiring monitoring.