NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client with a history of depression is prescribed venlafaxine (Effexor). The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A
Rationale: Venlafaxine, an SNRI, can cause hypertension, requiring monitoring.
Question 2 of 5
The mother of an older infant reports stopping the prescribed iron supplements after 2 weeks of treatment. Which of the following responses by the nurse is most appropriate?
Correct Answer: B
Rationale: Iron supplements are typically prescribed for several weeks to correct iron deficiency anemia, and stopping early may prevent full recovery. Retesting may be needed later, but continuing the medication is the priority. Diet alone may not suffice, and stopping medication prematurely is incorrect.
Question 3 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.
Question 4 of 5
A client was admitted to the hospital with a diagnosis of frequent symptomatic premature ventricular contractions (PVCs). After sitting up in a chair for a few minutes, the client reports feeling lightheaded. Which finding should the nurse anticipate on auscultation of the heartbeat?
Correct Answer: B
Rationale: The most accurate means of assessing pulse rhythm is by auscultation of the apical pulse. When a client has PVCs, the rate is irregular and if the radial pulse is taken, a true picture of what is occurring is not obtained. A very slow regular apical pulse indicates bradycardia. A very rapid regular apical pulse indicates tachycardia.
Question 5 of 5
A client is taking nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain from rheumatoid arthritis. What instruction should the nurse give the client about NSAIDs?
Correct Answer: A
Rationale: Taking NSAIDs with food and fluids reduces gastrointestinal irritation, a common side effect. Gradual dose reduction, mouth rinsing, or avoiding driving are not standard instructions for NSAIDs.