NCLEX-PN
NCLEX Trainer Test 1 Questions
Extract:
Question 1 of 5
The client with multiple myeloma is admitted and prescribed cyclophosphamide (Cytoxan). During the treatment, the nurse should instruct the client to:
Correct Answer: B
Rationale: Cyclophosphamide can cause hemorrhagic cystitis, so reporting hematuria is critical. Fiber, antacids, and activity are not directly related to this medication's side effects.
Question 2 of 5
A client hospitalized with acute glomerulonephritis has a positive ASO titer. The nurse understands that the client's current illness is due to a:
Correct Answer: B
Rationale: A positive antistreptolysin titer indicates infection with Group A β-hemolytic Streptococcus, a bacterial infection. Answers A, C, and D are not associated with acute glomerulonephritis so they are incorrect.
Question 3 of 5
Which of the following electrolytes must be maintained in a steady state for a client receiving lithium?
Correct Answer: A
Rationale: Sodium levels must be stable in clients taking lithium, as fluctuations can affect lithium levels and toxicity risk.
Question 4 of 5
An adult client complains of dizziness when getting out of bed in the morning. Which instruction should the nurse give the nursing assistant regarding care of this client?
Correct Answer: B
Rationale: Sitting on the bed's edge minimizes orthostatic hypotension, reducing dizziness and fall risk during morning transitions.
Question 5 of 5
The nurse is providing instructions for a client with asthma who is sensitive to house dust-mites. Which information about prevention of asthma episodes would be the most helpful to include during the teaching?
Correct Answer: C
Rationale: Wash and rinse the bed linens in hot water. For asthma clients sensitive to house dust-mites, washing bed linens in hot water above 130 degrees Fahrenheit is necessary to kill dust-mites.