NCLEX-RN
NCLEX RN Question Bank Free Questions
Extract:
Question 1 of 5
You are caring for a group of elderly clients, many of whom are affected with multiple chronic disorders and are also, at times, affected with some acute disorders that require medical and nursing attention. As you are caring for these clients some will need a new medication regimen for an acute disorder. You should consider that fact that the elderly population is at risk for more side effects, adverse drug reactions, and toxicity and over dosages of medications because the elderly have a (n):
Correct Answer: C
Rationale: Elderly individuals often have decreased hepatic metabolism due to reduced liver function, which affects drug metabolism and increases the risk of side effects, adverse reactions, and toxicity.
Question 2 of 5
A client with schizophrenia is prescribed risperidone. Which side effect should the nurse monitor for?
Correct Answer: B
Rationale: Risperidone can cause extrapyramidal symptoms, such as tremors or rigidity, due to dopamine receptor blockade.
Question 3 of 5
Select the member of the multidisciplinary team that you would most likely collaborate with when the client can benefit from the use of adaptive devices for cutting food?
Correct Answer: B
Rationale: An occupational therapist specializes in helping clients use adaptive devices to perform activities of daily living, such as cutting food, making them the most appropriate team member for this need.
Question 4 of 5
When obtaining the nursing history of a client who has diabetes mellitus, the nurse should assess the client for which of the following early symptom of renal insufficiency?
Correct Answer: A
Rationale: Polyuria is an early symptom of renal insufficiency in diabetes due to impaired kidney function affecting urine concentration. Oliguria, anuria, and dysuria are later or less specific.
Question 5 of 5
A client with a history of chronic kidney disease is prescribed sevelamer (Renagel). The nurse should explain that this medication works by:
Correct Answer: B
Rationale: Sevelamer binds phosphate in the gut, reducing serum phosphate levels in chronic kidney disease.