NCLEX-RN
Free NCLEX RN Exam Practice Questions Questions
Extract:
Question 1 of 5
A client with a history of rheumatoid arthritis is prescribed leflunomide (Arava). The nurse should monitor the client for which of the following side effects?
Correct Answer: A
Rationale: Leflunomide can cause liver toxicity, requiring regular monitoring of liver function tests.
Question 2 of 5
A client with a history of osteoarthritis is prescribed ibuprofen. The nurse should instruct the client to take the medication:
Correct Answer: B
Rationale: Ibuprofen should be taken with food to minimize gastrointestinal irritation and reduce the risk of ulcers.
Question 3 of 5
A client has been taking lisinopril for 3 months. The client reports to the nurse a persistent dry cough that began about 1 month ago. The nurse interprets that the most likely reason for the client's complaint is what?
Correct Answer: B
Rationale: A frequent side effect of therapy with any of the angiotensin-converting enzyme (ACE) inhibitors, such as lisinopril, is the appearance of a persistent, dry cough. The cough generally does not improve while the client is taking the medication. Clients are advised to notify the primary health care provider if the cough becomes very troublesome to them. The other options are incorrect interpretations.
Question 4 of 5
A client with a history of type 2 diabetes is prescribed pioglitazone (Actos). The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A
Rationale: Pioglitazone can cause weight gain due to fluid retention.
Question 5 of 5
A loading dose of digoxin (Lanoxin) is given to a client newly diagnosed with atrial fibrillation. The nurse begins instruction in the medication and the importance of monitoring his heart rate. An expected outcome of the education program will be:
Correct Answer: A
Rationale: Teaching the client to monitor their radial pulse ensures they can detect irregularities or bradycardia, a critical aspect of managing digoxin therapy.