NCLEX-RN
NCLEX RN Test Bank Questions PDF Questions
Extract:
Question 1 of 5
An adolescent tells the school nurse she thinks she has infectious mononucleosis. The nurse should next assess the client for?
Correct Answer: A
Rationale: Sore throat and malaise are hallmark symptoms of mononucleosis, requiring targeted assessment.
Question 2 of 5
A client with a history of bipolar disorder is prescribed lithium. The nurse should instruct the client to:
Correct Answer: A
Rationale: Consistent sodium intake prevents lithium toxicity, as sodium fluctuations affect lithium levels.
Question 3 of 5
The nurse is involved in preoperative teaching with a client who will be undergoing a lung resection. The client is told that two chest tubes will be placed during surgery. The nurse explains that the purpose of the nurse is to:
Correct Answer: B, C
Rationale: Chest tubes are placed to remove air (pneumothorax) and fluid (hemothorax or pleural effusion) from the pleural space to restore negative pressure and lung expansion. Preventing clots or milking tubes is not their primary purpose.
Question 4 of 5
A client with a diagnosis of schizophrenia is prescribed olanzapine (Zyprexa). The nurse should monitor the client for which of the following side effects?
Correct Answer: A
Rationale: Olanzapine commonly causes weight gain, requiring monitoring in clients with schizophrenia.
Question 5 of 5
A client with a diagnosis of major depressive disorder is prescribed fluoxetine (Prozac). The nurse should instruct the client that it may take how long to notice the full therapeutic effect?
Correct Answer: C
Rationale: Fluoxetine, an SSRI, typically takes 3-4 weeks to achieve its full therapeutic effect in treating depression.