NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease who is prescribed salmeterol (Serevent). The nurse should instruct the client to:
Correct Answer: D
Rationale: Salmeterol is a long-acting bronchodilator used twice daily for maintenance therapy in COPD.
Question 2 of 5
A client with a diagnosis of hyperthyroidism is prescribed methimazole (Tapazole). The nurse should monitor the client for which of the following side effects?
Correct Answer: B
Rationale: Methimazole can cause agranulocytosis, requiring monitoring of white blood cell counts.
Question 3 of 5
The nurse reviews the serum laboratory results for a client prescribed hydrochlorothiazide. Which most frequent side effect of this medication should the nurse specifically monitor for?
Correct Answer: A
Rationale: The client taking a potassium-losing diuretic must be monitored for decreased potassium levels. Other fluid and electrolyte imbalances that occur with the use of this medication include hyponatremia, hypercalcemia, hypomagnesemia, and hypophosphatemia.
Question 4 of 5
A client with a history of heart failure is prescribed spironolactone (Aldactone). Which electrolyte imbalance should the nurse monitor for?
Correct Answer: B
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, requiring monitoring to prevent arrhythmias.
Question 5 of 5
A client diagnosed with active tuberculosis (TB) is to be admitted to a medical-surgical unit. Which action should the nurse take when planning a bed assignment?
Correct Answer: A
Rationale: According to category-specific (respiratory) isolation precautions, a client with TB requires a private room. The room needs to be well ventilated and should have at least 6 to 12 exchanges of fresh air per hour and should be ventilated to the outside if possible.
Therefore, option 1 is the only correct choice.