NCLEX-RN
NCLEX RN Test Bank Questions PDF Questions
Extract:
Question 1 of 5
Based on the fact that you family unit client is experiencing a situational crisis that has led to dysfunctional communication within the family unit, you have recommended that the entire nuclear family and members of the extended family who live in the family's home begin family therapy. The grandparents tell you that it is their grandson, rather than their son, who is addicted to prescription painkillers, is the cause of the problem; therefore, they do not have to participate in this group therapy. How should you respond to these grandparents?
Correct Answer: C
Rationale: Addiction affects the entire family system, including extended family members living in the home. Their participation in therapy can help address dysfunctional communication and support the family unit as a whole.
Question 2 of 5
A nurse is assessing a client with metastatic lung cancer. The nurse should assess the client for:
Correct Answer: C
Rationale: Hoarseness is a common symptom of metastatic lung cancer due to tumor effects on the larynx or recurrent laryngeal nerve. Constipation, diarrhea, and weight gain are less specific.
Question 3 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.
Question 4 of 5
The nurse is teaching a client with gout about dietary management. Which of the following foods should the client avoid?
Correct Answer: C
Rationale: Organ meats are high in purines, which increase uric acid levels and should be avoided in gout.
Question 5 of 5
The nurse is preparing to administer a dose of warfarin (Coumadin) to a client. The client's International Normalized Ratio (INR) is 4.0. What should the nurse do?
Correct Answer: B
Rationale: An INR of 4.0 is above the therapeutic range (2-3), indicating a risk of bleeding, so the nurse should hold the dose and notify the physician.