NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client with a history of heart failure is prescribed sacubitril/valsartan (Entresto). The nurse should monitor the client for which of the following side effects?
Correct Answer: A
Rationale: Sacubitril/valsartan can cause hyperkalemia, requiring monitoring of potassium levels.
Question 2 of 5
The nurse is developing a plan of care for a client diagnosed with acquired immunodeficiency syndrome (AIDS). The nurse should document which goals for the client in the plan of care? Select all that apply.
Correct Answer: A,D
Rationale: A common, life-threatening opportunistic infection that occurs in clients with AIDS is Pneumocystis jiroveci pneumonia. Its symptoms include fever, exertional dyspnea, and nonproductive cough. The absence of respiratory distress and that of a fever are two of the goals that the nurse sets as priorities. The remaining options are not specifically related to AIDS.
Question 3 of 5
The nurse is preparing to give an I.M. injection. Which of the following sites has the least amount of blood vessels and major nerves located in the area?
Correct Answer: C
Rationale: The vastus lateralis has fewer blood vessels and nerves compared to the deltoid, dorsogluteal, or triceps, making it a safer site for I.M. injections.
Question 4 of 5
The nurse is teaching a client about warfarin (Coumadin) therapy. Which statement indicates the client understands the teaching?
Correct Answer: B
Rationale: Warfarin increases bleeding risk, so reporting bruising or bleeding is critical to monitor for complications like hemorrhage.
Question 5 of 5
The nurse is caring for a client with a history of hyperlipidemia who is prescribed atorvastatin (Lipitor). Which of the following laboratory tests should the nurse monitor?
Correct Answer: B
Rationale: Atorvastatin can cause hepatotoxicity, requiring regular monitoring of liver function tests.