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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

A patient with major depressive disorder is prescribed fluoxetine (Prozac). Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: Fluoxetine’s full effect takes 4–6 weeks, and patients must continue it to maintain benefits. Bedtime dosing is not standard, grapefruit juice is irrelevant, and stopping early risks relapse.

Extract:

The physician has ordered IV replacement of potassium for a patient with severe hypokalemia.


Question 2 of 5

The nurse would administer the IV potassium

Correct Answer: B

Rationale: Potassium is diluted and infused slowly to prevent cardiac arrhythmias.

Extract:

Which of the following signs should the nurse be aware of on a patient who is taking prednisone?


Question 3 of 5

Melena

Correct Answer: A

Rationale: Prednisone can cause gastrointestinal irritation, leading to melena, a sign of bleeding.

Extract:


Question 4 of 5

A client on warfarin therapy following coronary artery stent placement calls the clinic to ask if he can take Alka-Seltzer for an upset stomach. What is the best response by the nurse?

Correct Answer: A

Rationale: Avoid Alka-Seltzer because it contains aspirin. Alka-Seltzer is an over-the-counter aspirin-antacid combination. Aspirin, an antiplatelet drug, will potentiate the anticoagulant effect of warfarin, which may result in excess bleeding.

Question 5 of 5

Because the client is thought to have Cushing's syndrome, the nurse should assess the client for the presence of which of the following? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Cushing's syndrome causes hyperglycemia, easy bruising, immunosuppression, and fluid retention due to excess cortisol. Hypertension, not low blood pressure, and acne are common, but pitting is not specific.

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