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NCLEX RN· Full Length · NCLEX RN High-Yield Questions

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Showing all 10 practice questions with expert explanatory rationales.

Question 1 of 10

A client with a history of atrial fibrillation is prescribed amiodarone (Cordarone). Which side effect should the nurse monitor for?

A. Pulmonary toxicity
B. Renal failure
C. Hypoglycemia
D. Hyperkalemia

Expert Explanatory Rationale

Correct Answer: Pulmonary toxicity

Question 2 of 10

A multigravid client is scheduled for a percutaneous umbilical blood sampling procedure. The nurse instructs the client that this procedure is useful for diagnosing which of the following?

A. Twin pregnancies.
B. Fetal lung maturation.
C. Rh disease.
D. Alpha fetoprotein level.

Expert Explanatory Rationale

Correct Answer: Rh disease.

Question 3 of 10

Which of the following responses is most helpful for a client who is euphoric, intrusive, and interrupts other clients engaged in conversations to the point where they get up and leave or walk away?

A. When you interrupt others, they leave the area.
B. You are being rude and uncaring.
C. You should remember to use your manners.
D. You know better than to interrupt someone.

Expert Explanatory Rationale

Correct Answer: When you interrupt others, they leave the area.

Question 4 of 10

A client has been prescribed lansoprazole for 4 weeks. The nurse should monitor the client for relief from which problem?

A. Diarrhea
B. Heartburn
C. Flatulence
D. Constipation

Expert Explanatory Rationale

Correct Answer: Heartburn

Question 5 of 10

A client was admitted to the hospital with a diagnosis of frequent symptomatic premature ventricular contractions (PVCs). After sitting up in a chair for a few minutes, the client reports feeling lightheaded. Which finding should the nurse anticipate on auscultation of the heartbeat?

A. A regular apical pulse
B. An irregular apical pulse
C. A very slow regular apical pulse
D. A very rapid regular apical pulse

Expert Explanatory Rationale

Correct Answer: An irregular apical pulse

Question 6 of 10

A nurse is administering I.V. fluids to a dehydrated client. When administering an I.V. solution of 3% sodium chloride, what should the nurse do? Select all that apply.

A. Measure the intake and output.
B. Inspect the jugular veins for distention.
C. Evaluate the client for neurologic changes.
D. Force fluids, especially water.
E. Insert an indwelling urinary catheter.

Expert Explanatory Rationale

Correct Answer:

Question 7 of 10

The nurse is making rounds and observes a client who is unconscious (see fi gure). The nursing assistant has just turned the client from lying on her back. Before raising the side rail, the nurse should:

A. Elevate the head of the bed to 30 degrees.
B. Ask the nursing assistant to add a pillow under the right arm
C. Inspect the skin at pressure points from the back-lying position.
D. Help the nursing assistant move the client closer to the head of the bed.

Expert Explanatory Rationale

Correct Answer: Inspect the skin at pressure points from the back-lying position.

Question 8 of 10

Your family, as the client, now has four children and the parents do not want any other children at this time. The mother has a history of deep vein thrombosis and cigarette smoking; and both parents have a history of the lack of adherence to medical regimens. Which form of Contraception would you recommend for this couple?

A. A transdermal contraceptive patch
B. A diaphragm
C. A vaginal contraceptive ring
D. None of the above

Expert Explanatory Rationale

Correct Answer: None of the above

Question 9 of 10

The mother of an older infant reports stopping the prescribed iron supplements after 2 weeks of treatment. Which of the following responses by the nurse is most appropriate?

A. Bring the child in so that we can retest him
B. You need to continue the iron for several more weeks
C. Let's start a diet that is high in iron
D. No more medication is needed at this time

Expert Explanatory Rationale

Correct Answer: You need to continue the iron for several more weeks

Question 10 of 10

The nurse is caring for a client with a history of heart failure who is receiving digoxin (Lanoxin). Which of the following findings would indicate digoxin toxicity?

A. Blurred vision.
B. Tachycardia.
C. Hypertension.
D. Increased urine output.

Expert Explanatory Rationale

Correct Answer: Blurred vision.