NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
When teaching a client with bipolar disorder, mania, who has started to take valproic acid (Depakene) about possible side effects of this medication, the nurse should include which of the following in the teaching plan?
Correct Answer: C
Rationale: Valproic acid commonly causes sedation as a side effect, which the client should be aware of to manage daily activities safely.
Question 2 of 5
A 75-year-old man is receiving meperidine (Demerol) after surgery. For which of the following side effects of meperidine should the nurse carefully evaluate the client?
Correct Answer: A
Rationale: Meperidine can cause respiratory depression, especially in the elderly, requiring careful monitoring. Seizures are a concern with high doses, but respiratory depression is more immediate.
Question 3 of 5
A client with a diagnosis of diverticulitis is prescribed a high-fiber diet. Which of the following foods should the nurse recommend?
Correct Answer: B
Rationale: Broccoli is high in fiber, supporting bowel regularity in diverticulitis, unlike low-fiber foods like white rice or bread.
Question 4 of 5
A client with a history of peptic ulcer disease is prescribed ranitidine (Zantac). The nurse should instruct the client to:
Correct Answer: A
Rationale: Ranitidine is most effective at bedtime to reduce nighttime acid production.
Question 5 of 5
The nurse teaches the client with cirrhosis that he is achieving the expected effect of lactulose (Cephulac) when he has:
Correct Answer: B
Rationale: Lactulose is used in cirrhosis to reduce ammonia levels by promoting 2–3 soft stools per day. Fewer or more frequent stools may indicate under- or overdosing.