NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A client with a history of gout is prescribed allopurinol (Zyloprim). Which laboratory value should the nurse monitor closely?
Correct Answer: A
Rationale: Allopurinol reduces uric acid production in gout. Monitoring serum uric acid ensures therapeutic effect. Glucose (
B), potassium (
C), and hemoglobin (
D) are not directly affected.
Question 2 of 5
A female baby was born with talipes equinovarus. Her mother has requested that the nurse assigned to the baby come to her room to discuss the baby's condition. The nurse knows that the pediatrician has discussed the baby's condition with her mother and that an orthopedist has been consulted but has not yet seen the baby. What should the nurse do first?
Correct Answer: B
Rationale: The nurse should call the orthopedist after assessing the mother's knowledge. The nurse must first assess the knowledge of the parent before attempting any explanation. The nurse should assess the mother's knowledge of the baby's condition as the first priority. This answer is correct, but the priority is B.
Question 3 of 5
A client with a history of gout is prescribed allopurinol (Zyloprim). Which laboratory value should the nurse monitor closely?
Correct Answer: A
Rationale: Allopurinol reduces uric acid production in gout. Monitoring serum uric acid ensures therapeutic effect. Glucose (
B), potassium (
C), and hemoglobin (
D) are not directly affected.
Question 4 of 5
The client is admitted with a diagnosis of ectopic pregnancy. Which symptom is most characteristic of this condition?
Correct Answer: A
Rationale: Ectopic pregnancy often presents with sudden sharp abdominal pain due to tubal stretching or rupture. Painless bleeding is more typical of placenta previa and fever or edema are not characteristic.
Question 5 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.