NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A client with a history of a thyroidectomy is receiving Synthroid (levothyroxine). The nurse should teach the client to:
Correct Answer: D
Rationale: Palpitations may indicate levothyroxine overdose, requiring medical attention. It’s taken in the morning, iodine foods are not an issue, and weight loss (not gain) is more common.
Question 2 of 5
The client is admitted with a diagnosis of pericarditis. Which assessment finding is most characteristic?
Correct Answer: A
Rationale: Pericarditis causes chest pain that is typically relieved by sitting forward, reducing pressure on the inflamed pericardium. Bradycardia, edema, and muffled sounds are less specific or indicate complications like tamponade.
Question 3 of 5
The physician has ordered that a daily exercise program be instituted by a client with type I diabetes following his discharge from the hospital. Discharge instructions about exercise should include which of the following?
Correct Answer: B
Rationale: Exercise lowers blood sugar, so a snack may be needed to maintain appropriate glucose levels. The other options are incorrect as they increase the risk of hypoglycemia or are factually inaccurate.
Question 4 of 5
A client is being discharged on warfarin (Coumadin), an oral anticoagulant. The nurse instructs him about using this drug. Which following response by the client indicates the need for further teaching?
Correct Answer: C
Rationale: Using an electric razor prevents the risk of cuts while shaving. Any physician or dentist should be informed of anticoagulant therapy because of the risk of bleeding due to a prolonged PT. The client should be instructed to consult with his physician. Aspirin is avoided because it potentiates the effects of oral anticoagulants by interfering with platelet aggregation. Identification bracelets are necessary to direct treatment, especially in an emergency situation.
Question 5 of 5
Which observation would the nurse expect to make after an amniotomy?
Correct Answer: C
Rationale: After an amniotomy the nurse expects clear amniotic fluid. Greenish fluid suggests meconium dark yellow may indicate infection and red fluid indicates bleeding all of which are abnormal.