NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client has been given a prescription to begin using nitroglycerin transdermal medication patches. The nurse instructs the client about this medication administration system and provides which information? Select all that apply.
Correct Answer: B,C
Rationale: Nitroglycerin is a coronary vasodilator used in the management of coronary artery disease. The client is generally advised to apply a new medication patch each morning and leave it in place for 12 to 16 hours as the primary health care provider prescribes. The client needs the medication patch applied daily, not every 7 days, to ensure proper dosing is released as prescribed by the primary health care provider. The client can apply a new medication patch if it becomes dislodged because the dose is released continuously in small amounts through the skin. The client should avoid placing the medication patch in skinfolds or excoriated areas for appropriate absorption.
Question 2 of 5
A client comes into the emergency department with extreme fatigue. He is malnourished and laboratory tests reveal that he is severely anemic. The nurse should specifically ask the client about his intake of food high in which of the following nutrition:
Correct Answer: B
Rationale: Severe anemia is often due to deficiencies in iron, folate, vitamin B12, or copper, which are essential for red blood cell production. Other vitamins listed are less directly related to anemia.
Question 3 of 5
A client with a history of ulcerative colitis is prescribed sulfasalazine (Azulfidine). The nurse should instruct the client to report which of the following side effects immediately?
Correct Answer: B
Rationale: Yellowing of the skin may indicate hepatotoxicity, a serious side effect of sulfasalazine, requiring immediate reporting.
Question 4 of 5
A client has had an incisional cholecystectomy. Which of the following nursing interventions has the highest priority in postoperative care for this client?
Correct Answer: A
Rationale: Incentive spirometry prevents postoperative pulmonary complications, a significant risk after abdominal surgery, by promoting lung expansion.
Question 5 of 5
A client with a history of schizophrenia is prescribed risperidone (Risperdal). The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A
Rationale: Risperidone can cause extrapyramidal symptoms, such as tremors and rigidity, requiring monitoring.