NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
A client with a history of cirrhosis is admitted with jaundice. The nurse should include which of the following in the plan of care?
Correct Answer: A
Rationale: Jaundice in cirrhosis indicates liver dysfunction, increasing bleeding risk due to impaired clotting factor production.
Question 2 of 5
The nurse understands that the client is responding favorably to a prescription for colchicine when there is a decrease in which sign/symptom?
Correct Answer: B
Rationale: Colchicine is classified as an antigout agent. It interferes with the ability of the white blood cells to initiate and maintain an inflammatory response to monosodium urate crystals. The client should report a decrease in pain and inflammation in affected joints, as well as a decrease in the number of gout attacks. The other options are not related to the use of this medication.
Question 3 of 5
A client with a history of osteoporosis is prescribed alendronate (Fosamax). The nurse should instruct the client to:
Correct Answer: B
Rationale: Remaining upright for 30 minutes after taking alendronate prevents esophageal irritation and enhances absorption.
Question 4 of 5
The nurse is counseling a client about the prevention of coronary heart disease. Which of the following vitamins should the nurse recommend the client include in his diet to reduce homocysteine levels? Select all that apply.
Correct Answer: B, C, D
Rationale: Vitamin B6, folate, and vitamin B12 reduce homocysteine levels, a risk factor for coronary heart disease.
Question 5 of 5
A client with a history of heart failure is prescribed lisinopril (Prinivil). The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A, B
Rationale: Lisinopril, an ACE inhibitor, can cause hyperkalemia and hypotension.