NCLEX RN· Full Length · NCLEX RN High-Yield Questions
Full Question & Rationale Repository
Showing all 10 practice questions with expert explanatory rationales.
A client with a history of atrial fibrillation is prescribed amiodarone (Cordarone). Which side effect should the nurse monitor for?
Expert Explanatory Rationale
Correct Answer: Pulmonary toxicity
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?
Expert Explanatory Rationale
Correct Answer: Rh disease.
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?
Expert Explanatory Rationale
Correct Answer: When you interrupt others, they leave the area.
A client has been prescribed lansoprazole for 4 weeks. The nurse should monitor the client for relief from which problem?
Expert Explanatory Rationale
Correct Answer: Heartburn
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?
Expert Explanatory Rationale
Correct Answer: An irregular apical pulse
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.
Expert Explanatory Rationale
Correct Answer:
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:
Expert Explanatory Rationale
Correct Answer: Inspect the skin at pressure points from the back-lying position.
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?
Expert Explanatory Rationale
Correct Answer: None of the above
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?
Expert Explanatory Rationale
Correct Answer: You need to continue the iron for several more weeks
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?
Expert Explanatory Rationale
Correct Answer: Blurred vision.