NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
A client has been prescribed digoxin (Lanoxin). Which of the following symptoms should the nurse tell the client to report as a potential indication of digoxin toxicity?
Correct Answer: C
Rationale: Visual disturbances, such as blurred or yellow vision, are classic signs of digoxin toxicity, requiring immediate reporting.
Question 2 of 5
The nurse notes that the client admitted after fainting is receiving olanzapine. Which disorder or condition should the nurse suspect the client is experiencing?
Correct Answer: A
Rationale: Olanzapine is an atypical antipsychotic medication used in the management of manifestations associated with psychotic disorders. It is the first-line treatment for schizophrenia, targeting both the positive and the negative symptoms. None of the remaining options are indicated uses for this medication.
Question 3 of 5
The nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following findings indicates a complication of TPN?
Correct Answer: A
Rationale: Hyperglycemia (blood glucose of 200 mg/dL) is a common complication of TPN due to high dextrose content, requiring insulin adjustments.
Question 4 of 5
A client with a diagnosis of gout is prescribed naproxen. The nurse should instruct the client to:
Correct Answer: A,B
Rationale: Taking naproxen with food reduces gastrointestinal upset, and avoiding alcohol prevents uric acid buildup.
Question 5 of 5
Which of the following is appropriate for a client with metabolic alkalosis?
Correct Answer: A
Rationale: Metabolic alkalosis can cause hypokalemia, so monitoring serum potassium levels is appropriate. Bed rest is not indicated, inhaling CO2 is for respiratory alkalosis, and sodium bicarbonate would worsen alkalosis.