Questions 150

NCLEX-RN

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NCLEX RN Questions with Detailed Explanations Questions

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Question 1 of 5

The nurse should instruct the parent of a child who is taking valproic acid (Depakene) that the child will need to have routine blood analyses consisting of which of the following?

Correct Answer: B

Rationale: Valproic acid requires monitoring of amylase (for pancreatitis) and platelet levels (for thrombocytopenia).

Question 2 of 5

A client has cystitis. The nurse should further assess the client for:

Correct Answer: D

Rationale: Foul-smelling urine is a common symptom of cystitis due to bacterial infection. Flank pain and oliguria are more indicative of pyelonephritis.

Question 3 of 5

Which oral contraceptive is considered safe for use while breast-feeding because it will not affect the breast milk or breast-feeding?

Correct Answer: C

Rationale: Progestin-only contraceptives are safe during breast-feeding, as they do not affect milk production.

Question 4 of 5

A client with alcohol dependence states, 'I feel so bad because of what I've done to my wife and kids. I'm just no good.' Which of the following responses by the nurse is most appropriate?

Correct Answer: C

Rationale: Framing alcohol dependence as a treatable disease offers hope and reduces self-blame, supporting recovery. Other responses may reinforce guilt or are less therapeutic.

Question 5 of 5

A client has been prescribed metoprolol for hypertension. The nurse monitors client compliance carefully because of which common side effect of the medication?

Correct Answer: A

Rationale: A common side effect of beta-adrenergic blocking agents, such as metoprolol, is impotence. Other common side effects include fatigue and weakness. Central nervous system side effects occur rarely and include mental status changes, nervousness, depression, and insomnia. Mood swings, increased appetite, and complete AV block are not reported side effects.

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