NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A client with a history of hepatitis C is admitted with complaints of fatigue. The nurse should expect the client to have:
Correct Answer: A
Rationale: Hepatitis C causes liver inflammation, leading to elevated liver enzymes (e.g., AST, ALT), a common finding reflecting hepatic damage.
Question 2 of 5
The physician has prescribed imipramine (Tofranil) for a client with depression. The nurse should continue to monitor the client's affect because the maximal effects of tricyclic antidepressant medication do not occur for:
Correct Answer: C
Rationale: Tricyclic antidepressants like imipramine take 2-4 weeks for maximal therapeutic effects due to gradual neurotransmitter changes. Monitoring affect is essential during this period.
Question 3 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD). The nurse should give priority to:
Correct Answer: A
Rationale: COPD impairs gas exchange, so monitoring oxygen saturation is critical to assess respiratory function and guide oxygen therapy.
Question 4 of 5
The physician has prescribed metoclopramide (Reglan). When assessing the client, the nurse would expect to find which of the following responses?
Correct Answer: B
Rationale: This response is expected with metoclopramide, in addition to increasing gastric emptying.
Question 5 of 5
The primary reason for sending a burn client home with a pressure garment, such as a Jobst garment, is that the garment:
Correct Answer: A
Rationale: Pressure garments apply uniform pressure to prevent or reduce hypertrophic scarring, which is critical during the recovery phase of burn care.