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NCLEX-RN Exam Practice Questions

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Question 1 of 5

The sputum of a client remains positive for the tubercle bacillus even though the client has been taking Laniazid (isoniazid) in combination with other antituberculars. The nurse recognizes that the client taking isoniazid should have a negative sputum culture within:

Correct Answer: D

Rationale: Effective antitubercular therapy, including isoniazid, typically results in a negative sputum culture within three months, indicating control of active infection.

Question 2 of 5

The initial treatment for a client with a liquid chemical burn injury is to:

Correct Answer: B

Rationale: The use of large amounts of water to flush the area is recommended for chemical burns to dilute and remove the chemical. Neutralizing solutions may extend the burn, calcium chloride is not indicated, and lanolin is not beneficial initially.

Question 3 of 5

The nurse is caring for a client with a diagnosis of gestational trophoblastic disease. Which intervention is most appropriate?

Correct Answer: A

Rationale: Gestational trophoblastic disease requires monitoring hCG levels to assess for resolution or progression to malignancy (e.g. choriocarcinoma).
Tocolytics fetal monitoring and vaginal delivery are not indicated as there is no viable fetus.

Question 4 of 5

A 33-year-old client is diagnosed with bipolar disorder, acute phase. This is her first psychiatric hospitalization, and she is being evaluated for treatment with lithium. Which of the following diagnostic tests are essential prior to the initiation of lithium therapy with this client?

Correct Answer: B

Rationale: These are general diagnostic blood studies (usually done on admission), but they are not reliable indicators of lithium therapy clearance. These are the primary diagnostic tests to determine kidney functioning. Because lithium is excreted through the kidneys and because it can be very toxic, adequate renal function must be ascertained before therapy begins. These are diagnostic blood tests used to determine the presence of endocrine (not renal) dysfunction. These are other types of diagnostic procedures used to determine musculoskeletal, neural, and cardiac (rather than renal) functioning.

Question 5 of 5

A 20-year-old female has a prescription for Sumycin (tetracycline). While teaching the client how to take her medicine, the nurse learns that the client is also taking an oral contraceptive. Which instruction should be included in the teaching plan?

Correct Answer: D

Rationale: Tetracyclines can reduce the effectiveness of oral contraceptives by altering gut flora, affecting estrogen metabolism. This increases the risk of unintended pregnancy, requiring backup contraception.

Similar Questions

The client at 36 weeks gestation is admitted with painless vaginal bleeding. The nurse should suspect which of the following conditions?
The nurse is caring for a client with a history of bipolar disorder. The nurse should give priority to:
The nurse is caring for a client with a history of Alzheimer’s disease. The nurse should expect the client to have:
As the client reaches 6cm dilation,the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?
The nurse is developing a plan of care for a client with an electrolyte imbalance and identifies a nursing diagnosis of decreased physical mobility. Which alteration is most likely the etiology?

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