NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A 75-year-old man is receiving meperidine (Demerol) after surgery. For which of the following side effects of meperidine should the nurse carefully evaluate the client?
Correct Answer: A
Rationale: Meperidine can cause respiratory depression, especially in the elderly, requiring careful monitoring. Seizures are a concern with high doses, but respiratory depression is more immediate.
Question 2 of 5
Your pregnant client has a new order for a medication. What principle should you apply to this new medication?
Correct Answer: A
Rationale: FDA pregnancy categories C, D, and X indicate potential or known risks to the fetus, making them contraindicated unless benefits outweigh risks.
Question 3 of 5
The nurse receives a specimen of clear, watery sputum from a client. Which of the following actions is most appropriate for the nurse to take?
Correct Answer: A
Rationale: Clear, watery sputum may indicate a condition like pulmonary edema, requiring prompt laboratory analysis for accurate diagnosis.
Question 4 of 5
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?
Correct Answer: A
Rationale: Blurred vision is a classic sign of digoxin toxicity, along with nausea, confusion, and arrhythmias, due to excessive drug levels affecting the nervous system.
Question 5 of 5
The nurse is teaching a client about warfarin (Coumadin) therapy. Which statement indicates the client understands the teaching?
Correct Answer: B
Rationale: Warfarin increases bleeding risk, so reporting bruising or bleeding is critical to monitor for complications like hemorrhage.