NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client previously well controlled with glyburide has recently begun reporting fasting blood glucose to be 180 to 200 mg/dL (10.28-11.42 mmol/L). Which medication, noted in the client's record, may be contributing to the elevated blood glucose level?
Correct Answer: A
Rationale: Corticosteroids, thiazide diuretics, and lithium may decrease the effect of glyburide, causing hyperglycemia. All the other options may increase the effect of glyburide, leading to hypoglycemia.
Question 2 of 5
The nurse is caring for a client with a history of burns. Which of the following interventions should be included in the plan of care?
Correct Answer: A
Rationale: Monitoring for infection is critical in burns due to high risk of sepsis.
Question 3 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.
Question 4 of 5
Select the client religion that is the most pertinent to the role of the admissions coordinator of hospital who assigns the rooms and beds of clients who will be admitted.
Correct Answer: C
Rationale: Islamic practices, such as gender-specific care preferences or prayer requirements, may influence room assignments, making it pertinent for the admissions coordinator to consider.
Question 5 of 5
The nurse is teaching a client with a new diagnosis of gout about dietary modifications. Which of the following foods should the client avoid?
Correct Answer: B
Rationale: Shellfish are high in purines, which can increase uric acid levels and trigger gout attacks.