NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client with a history of gout is prescribed allopurinol. What should the nurse include in the teaching?
Correct Answer: B
Rationale: Increasing fluid intake promotes uric acid excretion, reducing the risk of gout flares.
Question 2 of 5
A client with a history of atrial fibrillation is prescribed amiodarone (Cordarone). Which side effect should the nurse monitor for?
Correct Answer: A
Rationale: Amiodarone can cause pulmonary toxicity, a serious side effect manifesting as cough or dyspnea, requiring regular monitoring.
Question 3 of 5
A family may request to have a client of Vietnamese descent transferred to die at home because it is traditionally believed that:
Correct Answer: C
Rationale: In Vietnamese culture, dying at home is often preferred, as it is believed to provide more comfort and spiritual peace for the patient and family.
Question 4 of 5
The nurse is performing a physical assessment on a client with rheumatoid arthritis. The nurse assesses the client's hands and notes which characteristic deformities? Refer to the figure.
Correct Answer: A
Rationale: Ulnar drift occurs when synovitis stretches and damages the tendons, and eventually the tendons become shortened and fixed. This damage causes subluxation (drift) of the joints. All of the conditions that are identified in the options can occur in rheumatoid arthritis; however, the figure pictures ulnar drift.
Question 5 of 5
A client with a history of atrial fibrillation is prescribed digoxin (Lanoxin). The nurse should teach the client to report which of the following symptoms as a potential sign of toxicity?
Correct Answer: B
Rationale: Yellow-green visual halos are a classic sign of digoxin toxicity, indicating the need for immediate medical evaluation.