NCLEX-RN
RN NCLEX Practice Test Questions
Extract:
Question 1 of 5
The physician has prescribed Oxycontin (oxycodone) for a client following an exploratory laparotomy. Which of the following is an adverse effect associated with the medication?
Correct Answer: C
Rationale: Oxycontin, an opioid, can cause nervousness or restlessness as a central nervous system side effect, alongside more common effects like sedation or respiratory depression. Pulmonary edema, increased blood pressure, and rapid pulse are not typical.
Question 2 of 5
A client with gallstones and obstructive jaundice is experiencing severe itching. The physician has prescribed cholestyramine (Questran). The client asks, “How does this drug work?” What is the nurse’s best response?
Correct Answer: D
Rationale: Cholestyramine binds bile acids in the intestine, forming complexes excreted in stool, reducing circulating bile acids that cause itching. It doesn’t block histamine (
A), inhibit enzymes (
B), or reduce gallbladder bile (
C).
Question 3 of 5
The nurse is caring for a client with a history of a pneumothorax who is being discharged. The nurse should teach the client to:
Correct Answer: C
Rationale: Chest pain post-pneumothorax may indicate recurrence or complications, requiring immediate reporting. Heavy lifting and swimming are restricted, and sleeping position is not critical.
Question 4 of 5
A client with BPH has undergone a TURP. Which nursing interventions are parts of the client's post-operative care?
Correct Answer: A, B, D
Rationale: Post-TURP care includes monitoring vital signs (
A), constant bladder irrigation (
B) to prevent clots, and checking for bleeding (
D). Fluid intake is encouraged (
C), and bed rest is typically 24 hours (E).
Question 5 of 5
The physician has ordered a liver panel for a client with suspected hepatitis. Which laboratory result is most indicative of liver damage?
Correct Answer: A
Rationale: Elevated alanine aminotransferase (ALT) is specific to liver damage, as it is released when hepatocytes are injured, common in hepatitis. Hemoglobin, sodium, and potassium are not directly indicative of liver function.