NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A client with a history of gout is prescribed allopurinol (Zyloprim). Which laboratory value should the nurse monitor closely?
Correct Answer: A
Rationale: Allopurinol reduces uric acid production in gout. Monitoring serum uric acid ensures therapeutic effect. Glucose (
B), potassium (
C), and hemoglobin (
D) are not directly affected.
Question 2 of 5
The nurse is caring for a client with a diagnosis of placenta previa. Which intervention is most appropriate?
Correct Answer: A
Rationale: Bedrest minimizes bleeding risk in placenta previa by reducing cervical pressure.
Tocolytics are not typically used vaginal delivery is contraindicated and antibiotics are not indicated unless infection is present.
Question 3 of 5
A client has ascites, which is caused by:
Correct Answer: A
Rationale: A decrease in plasma proteins causes a decrease in intravascular osmotic pressure resulting in leakage of fluid into peritoneal cavity.
Question 4 of 5
The nurse is providing discharge teaching for a client taking naltrexone (Revia). The nurse should instruct the client to avoid which over-the-counter medication:
Correct Answer: C
Rationale: Naltrexone, used for opioid or alcohol dependence, can interact with cold medicines containing dextromethorphan, which may have opioid-like effects, reducing naltrexone’s efficacy. Acetaminophen, ibuprofen, and antihistamines do not have significant interactions.
Question 5 of 5
An 82-year-old former restaurant owner walks to the nursing station and states, 'I have to go. The restaurant opens at 11 am.' Which response by the nurse is the most appropriate?
Correct Answer: C
Rationale: This response cuts off communication with the client. It does not address her feelings. Reality orientation frequently does not work alone. Feelings must be addressed. Telling a client to calm down is frequently ineffective. Reminiscence is used here to reorient and recall past pleasant events. Talking about the restaurant will allay anxiety. This response may confirm to the client that she indeed does still own a restaurant, buying into her confusion. Her feelings and anxiety require nursing intervention.