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 monitoring for the presence of pitting edema in the prenatal client. The nurse presses the fingertips of the middle and index fingers against the shin in 4 different locations and holds pressure for 2 to 3 seconds. The nurse notes that the indentation is approximately 1-inch deep. The nurse should document that the client has which level of pitting edema?
Correct Answer: D
Rationale: When evaluating the presence of pitting edema, the nurse presses the fingertips of the index and middle fingers against the shin and holds pressure for 2 to 3 seconds. An indentation approximately 1-inch deep would be indicative of +4 edema. A slight indentation would indicate +1 edema. An indentation approximately 1/4-inch deep indicates +2 edema. An indentation approximately 1/2-inch deep indicates +3 edema.
Question 3 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.
Question 4 of 5
You are caring for an infant who is just about 12 months old. Which assessment data is normal for the infant at this age?
Correct Answer: B
Rationale: By 12 months, a healthy infant typically triples their birth weight, making option B correct. Doubling birth weight usually occurs by 6 months. Option C (60 mL/kg) is not a standard measure for assessing normal infant development, and option D (¼ inch growth in a month) is not necessarily indicative of normal growth without further context.
Question 5 of 5
A nurse on the labor-and-delivery unit transfers a primiparous client and her term neonate to the mother-baby unit 2 hours after the client delivered. Which of the following information is a priority for the nurse to report to the nurse receiving the client on the mother-baby unit?
Correct Answer: A
Rationale: A firm fundus with massage indicates potential uterine atony, a priority to report due to the risk of postpartum hemorrhage.