NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client with a history of Addison's disease is prescribed hydrocortisone (Cortef). The nurse should instruct the client to:
Correct Answer: C
Rationale: Hydrocortisone suppresses immunity, so reporting signs of infection is critical in Addison's disease.
Question 2 of 5
When teaching a client with bipolar disorder, mania, who has started to take valproic acid (Depakene) about possible side effects of this medication, the nurse should include which of the following in the teaching plan?
Correct Answer: C
Rationale: Valproic acid commonly causes sedation as a side effect, which the client should be aware of to manage daily activities safely.
Question 3 of 5
A 10-year-old child is diagnosed with pediculosis. The mother is concerned about the spread of the lice to children who have been in contact with her child. The nurse should instruct the mother to have her child avoid:
Correct Answer: C
Rationale: Sharing batting helmets can spread lice through direct head-to-head contact or shared items, unlike the other activities.
Question 4 of 5
A client with a history of atrial fibrillation is prescribed amiodarone (Cordarone). Which side effect should the nurse monitor for?
Correct Answer: A
Rationale: Amiodarone can cause pulmonary toxicity, a serious side effect manifesting as cough or dyspnea, requiring regular monitoring.
Question 5 of 5
A client is preparing for discharge 10 days after a radical vulvectomy. The nurse determines that the client has the best understanding of the measures to prevent complications when the client expresses plans to engage in which activity after discharge?
Correct Answer: A
Rationale: The client should resume activity slowly, and walking is a beneficial activity. The client should know to rest when fatigue occurs. Activities to be avoided include driving, heavy housework, wearing tight clothing, crossing the legs, and prolonged standing or sitting. Sexual activity is usually prohibited for 4 to 6 weeks after surgery.