NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
A client with a history of epilepsy is prescribed phenobarbital. The nurse should monitor the client for which of the following side effects?
Correct Answer: A
Rationale: Phenobarbital commonly causes drowsiness, which the nurse should monitor in clients with epilepsy.
Question 2 of 5
A client with a diagnosis of Parkinson's disease is prescribed ropinirole (Requip). The nurse should monitor the client for which of the following side effects?
Correct Answer: B
Rationale: Ropinirole, a dopamine agonist, commonly causes drowsiness, which the nurse should monitor in Parkinson's clients.
Question 3 of 5
A client has a prescription to have a set of arterial blood gases (ABGs) drawn, and the intended site is the radial artery. The nurse ensures that which is positive before the ABGs are drawn?
Correct Answer: A
Rationale: The Allen test is performed before drawing ABGs. Both the radial and ulnar arteries are occluded and then pressure on the ulnar artery is released. Observation is made in the distal circulation. If the results are positive, then the client has adequate circulation and the radial artery may be used. Turner's sign is the bluish discoloration of the flanks and is indicative of pancreatitis. The Babinski reflex is checked by stroking upward on the sole of the foot. Brudzinski's sign tests for nuchal rigidity by bending the head down toward the chest.
Question 4 of 5
A client with a history of peptic ulcer disease is prescribed sucralfate (Carafate). The nurse should instruct the client to:
Correct Answer: A
Rationale: Sucralfate should be taken 1 hour before meals to coat the stomach lining and protect ulcers.
Question 5 of 5
The nurse is assessing a client with a history of heart failure who is receiving a 500-mL I.V. bolus of 0.9% normal saline. To evaluate the client's response to the treatment, the nurse should especially monitor the client for which of the following?
Correct Answer: C
Rationale: In heart failure, fluid boluses can lead to pulmonary edema, so monitoring for lung crackles is critical to detect fluid overload.