NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
A client with a history of a stroke is receiving speech therapy. The nurse should:
Correct Answer: C
Rationale: A quiet environment reduces distractions, aiding speech therapy post-stroke. Loud speech, complex sentences, and limiting sessions are unhelpful.
Question 2 of 5
The nurse is caring for a client with leukemia who has received the drug Daunorubicin (Cerubidine). Which of the following common side effects would cause the most concern?
Correct Answer: C
Rationale: Cardiotoxicity, a serious side effect of Daunorubicin, can lead to heart failure and requires immediate attention. Nausea (
A), vomiting (
B), and alopecia (
D) are common but less life-threatening.
Question 3 of 5
Nursing interventions designed to decrease the risk of infection in a client with an indwelling catheter include:
Correct Answer: A
Rationale: Catheter site care at least twice daily prevents pathogen growth at the insertion site, reducing infection risk. The other options are either incorrect or not optimal.
Question 4 of 5
A female client has experienced varying degrees of depression throughout her life. Now that she is postmenopausal, her depression has increased. She is unable to motivate herself to clean her house or even to get out of bed and get dressed in the morning. The client was begun on fluoxetine (Prozac) therapy. When educating her about fluoxetine, what might the nurse caution her about?
Correct Answer: C
Rationale: A daily dose of fluoxetine should be taken in the morning. Afternoon doses may cause nervousness and insomnia. Although fluoxetine is less sedating than other antidepressants, it may still cause dizziness or drowsiness, requiring caution with driving or hazardous activities. Rashes or pruritus usually occur early in the therapy and are treatable without discontinuing the medication. Fluoxetine can interact with other medications, including over-the-counter drugs, and should be reviewed by the healthcare provider to avoid harmful interactions.
Question 5 of 5
A client with a history of a gastric ulcer is receiving Omeprazole (Prilosec). The nurse should teach the client to:
Correct Answer: A
Rationale: Omeprazole, a proton pump inhibitor, is most effective when taken before meals to reduce acid production. Avoiding spicy foods and increasing fiber are helpful but secondary, and chest pain is unrelated.