NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
A client with a diagnosis of gout is prescribed naproxen. The nurse should instruct the client to:
Correct Answer: A,B
Rationale: Taking naproxen with food reduces gastrointestinal upset, and avoiding alcohol prevents uric acid buildup.
Question 2 of 5
A client has a positive sputum culture for Mycobacterium tuberculosis and is prescribed streptomycin as part of the treatment. The nurse determines that the client is experiencing a toxic effect of the medication when which test result is abnormal?
Correct Answer: D
Rationale: BUN and creatinine are measured during therapy with streptomycin because the medication is nephrotoxic. Vision testing is done during treatment with ethambutol. The client taking isoniazid for tuberculosis is at risk for hepatotoxicity. Hemoglobin and hematocrit are not specifically related to tuberculosis.
Question 3 of 5
A nurse is assessing a client who is receiving clozapine (Clozaril). The nurse reviews the chart below. What should the nurse do next?
Correct Answer: D
Rationale: Clozapine requires monitoring for agranulocytosis; abnormal findings (e.g., low white blood cell count) warrant withholding the drug and notifying the physician to prevent serious complications.
Question 4 of 5
A nulligravid client with gestational diabetes tells the nurse that she had a reactive nonstress test 3 days ago and asks, 'What does that mean?' The nurse explains that a reactive nonstress test indicates which of the following about the fetus?
Correct Answer: B
Rationale: A reactive nonstress test, showing fetal heart rate accelerations, indicates fetal well-being.
Question 5 of 5
The nurse is caring for a client with a history of breast cancer who is receiving chemotherapy. Which of the following laboratory values should the nurse monitor closely?
Correct Answer: A
Rationale: Chemotherapy can cause bone marrow suppression, requiring close monitoring of white blood cell counts for infection risk.