NCLEX RN Question Bank Free Questions

Question 1 of 5

A client with a diagnosis of Parkinson's disease is prescribed levodopa-carbidopa (Sinemet). The nurse should teach the client that this medication works by:

A. Reducing muscle spasms.B. Increasing dopamine levels in the brain.C. Blocking acetylcholine receptors.D. Decreasing serotonin levels.

Correct Answer: B

Rationale: Levodopa-carbidopa increases dopamine levels in the brain, helping to alleviate Parkinson's symptoms.

Question 2 of 5

A client with a history of depression is prescribed bupropion (Wellbutrin). The nurse should instruct the client to report which of the following side effects immediately?

A. Mild headache.B. Seizures.C. Nausea.D. Fatigue.

Correct Answer: B

Rationale: Bupropion lowers the seizure threshold, and seizures are a serious side effect requiring immediate reporting.

Question 3 of 5

A client with a history of type 2 diabetes is prescribed sitagliptin (Januvia). The nurse should instruct the client to:

A. Take the medication with meals.B. Monitor for signs of pancreatitis.C. Take the medication at bedtime.D. Stop the medication if blood glucose normalizes.

Correct Answer: B

Rationale: Sitagliptin can cause pancreatitis, requiring monitoring for abdominal pain.

Question 4 of 5

A client with the diagnosis of pneumonia experiences dyspnea when engaging activities. Which action should the nurse implement to help address client safety?

A. Encourage deep, rapid breathing during activity.B. Provide stimulation in the environment to maintain client alertness.C. Observe vital signs and oxygen saturation periodically during activity.D. Schedule activities before giving respiratory medications or treatments.

Correct Answer: C

Rationale: Monitoring vital signs and oxygen saturation during activity ensures the nurse can detect early signs of respiratory distress or hypoxia, promoting client safety. Encouraging deep, rapid breathing may exacerbate dyspnea and is not safe. Providing environmental stimulation is unrelated to respiratory safety. Scheduling activities before respiratory medications or treatments could worsen dyspnea, as these interventions improve breathing capacity.

Question 5 of 5

A nurse is having difficulty establishing a relationship with an aggressive client. What strategy will most likely improve the relationship?

A. The nurse and the client agree to work to improve their involvement in the therapeutic relationship.B. The nurse establishes goals for having only positive interactions with the client.C. The nurse agrees to be submissive so the client can dominate the relationship.D. The nurse seeks assistance from colleagues to become more aware of the quality of the interactions and more sensitive to the dynamics of communication.

Correct Answer: D

Rationale: Seeking colleague assistance enhances self-awareness and communication skills, improving the therapeutic relationship with an aggressive client.

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