NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client takes aluminum hydroxide tablets as needed for heartburn. The nurse teaches the client that which is the most common side effect of this medication?
Correct Answer: D
Rationale: Because of the antacid's aluminum base, aluminum hydroxide causes constipation as a side effect. The other side effect is hypophosphatemia, which is noted by monitoring serum laboratory studies. The other options are not side effects of this medication.
Question 2 of 5
A client is being discharged from the hospital after removal of chest tubes that were inserted following thoracic surgery. When providing home care instructions to the client, which client statement indicates a need for further teaching?
Correct Answer: C
Rationale: Upon removal of a chest tube, a dressing is usually placed over the chest tube site. This is maintained in place until the primary health care provider says it may be removed. The client should avoid heavy lifting for the first 4 to 6 weeks after discharge to facilitate continued wound healing. The client is taught to monitor and report any respiratory difficulty or increased temperature.
Question 3 of 5
The nurse is watching two siblings, ages 7 and 9 years, verbally arguing over a toy. The nurse has discussed the parent before about how to handle this situation. The nurse should judge that the teaching has been effective when the parent does which of the following?
Correct Answer: B
Rationale: Ignoring minor verbal arguments allows children to resolve conflicts independently, as previously taught. Forcing handshakes or punishment escalates the situation unnecessarily.
Question 4 of 5
A client with a history of heart failure is prescribed furosemide (Lasix). The nurse should monitor the client for which of the following electrolyte imbalances?
Correct Answer: A
Rationale: Furosemide causes potassium loss, leading to hypokalemia, which requires monitoring.
Question 5 of 5
A client with a diagnosis of osteoarthritis is prescribed celecoxib (Celebrex). The nurse should instruct the client to report which of the following side effects immediately?
Correct Answer: B
Rationale: Chest pain may indicate a cardiovascular event, a serious side effect of celecoxib, requiring immediate reporting.