NCLEX RN· Full Length · RN NCLEX Next Gen Questions
Full Question & Rationale Repository
Showing all 10 practice questions with expert explanatory rationales.
A client with a history of anxiety disorder is prescribed buspirone (BuSpar). The nurse should explain that this medication:
Expert Explanatory Rationale
Correct Answer: May take 2-4 weeks to achieve full effect.
Buspirone typically takes 2-4 weeks to achieve its full anti-anxiety effect, unlike benzodiazepines.
A primigravid client at 38 weeks' gestation reports decreased fetal movement. What is the nurse's first action?
Expert Explanatory Rationale
Correct Answer: Auscultate fetal heart tones.
Auscultating fetal heart tones is the first step to assess fetal well-being in response to decreased movement, providing immediate data.
A hospitalized client fell on the floor and sustained a small laceration on her hand that required stitches. The intern will suture the client's hand at the client's bedside and asks for bupivacaine (Marcaine) with epinephrine and a suture kit in order to suture the laceration. The nurse should question which of the following?
Expert Explanatory Rationale
Correct Answer: Marcaine with epinephrine as the local anesthetic.
Bupivacaine with epinephrine should be questioned for hand lacerations, as epinephrine can cause vasoconstriction and potential tissue ischemia in extremities.
The nurse is caring for a client with a history of venous insufficiency. Which of the following interventions is most appropriate?
Expert Explanatory Rationale
Correct Answer: Apply compression stockings.
Compression stockings improve venous return and reduce swelling in venous insufficiency.
A client with a diagnosis of hyperparathyroidism is prescribed calcitonin (Miacalcin). The nurse should monitor the client for which of the following side effects?
Expert Explanatory Rationale
Correct Answer: Hypocalcemia.
Calcitonin lowers serum calcium levels, so the nurse should monitor for hypocalcemia as a potential side effect.
A client with a history of peptic ulcer disease is prescribed sucralfate (Carafate). The nurse should instruct the client to:
Expert Explanatory Rationale
Correct Answer: Take the medication 1 hour before meals.
Sucralfate should be taken 1 hour before meals to coat the stomach lining and protect ulcers.
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with pneumonia. The nurse should monitor the client for which of the following complications?
Expert Explanatory Rationale
Correct Answer: Hypercapnia.
Clients with COPD are at risk for hypercapnia (elevated CO₂ levels) during pneumonia due to impaired gas exchange, which can worsen respiratory distress.
A nurse notices that a newborn has a swelling in the scrotum. The nurse should interpret this as indicative of hydrocele if which of the following occurs?
Expert Explanatory Rationale
Correct Answer: The scrotal sac can be transilluminated.
Transillumination of the scrotal sac indicates fluid, characteristic of a hydrocele, a common newborn condition.
A client with a history of osteoporosis is prescribed alendronate (Fosamax). The nurse should instruct the client to:
Expert Explanatory Rationale
Correct Answer: Remain upright for 30 minutes after taking
Remaining upright for 30 minutes after taking alendronate prevents esophageal irritation and enhances absorption.
Which of the following is appropriate when developing a plan of care for promoting the development of a preschooler? Select all that apply.
Expert Explanatory Rationale
Correct Answer:
Anticipatory guidance, understanding behavior, and identifying deviations support preschooler development. Predicting future development is not feasible, and daycare is not universally required.
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