NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client with a history of schizophrenia is prescribed risperidone (Risperdal). The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A
Rationale: Risperidone can cause extrapyramidal symptoms, such as tremors and rigidity, requiring monitoring.
Question 2 of 5
The nurse is caring for a client with a history of heart failure who is receiving digoxin (Lanoxin). Which of the following findings would indicate digoxin toxicity?
Correct Answer: A
Rationale: Blurred vision is a classic sign of digoxin toxicity, along with nausea, confusion, and arrhythmias, due to excessive drug levels affecting the nervous system.
Question 3 of 5
Which of the following nursing diagnoses is a priority for the family whose child is dying of leukemia?
Correct Answer: D
Rationale: Grieving is the priority nursing diagnosis for a family with a child dying of leukemia, as it addresses their emotional response to impending loss. Other diagnoses may apply but are less immediate.
Question 4 of 5
Select the risk factor that is accurately paired with its disorder.
Correct Answer: C
Rationale: Hyperkalemia is associated with ketoacidosis, as metabolic acidosis can cause potassium to shift out of cells, elevating serum levels.
Question 5 of 5
Your family, as the client, now has four children and the parents do not want any other children at this time. The mother has a history of deep vein thrombosis and cigarette smoking; and both parents have a history of the lack of adherence to medical regimens. Which form of Contraception would you recommend for this couple?
Correct Answer: D
Rationale: Given the mother's history of deep vein thrombosis, hormonal contraceptives like the transdermal patch or vaginal ring are contraindicated due to increased clotting risk. A diaphragm may be unreliable due to non-adherence. Non-hormonal options like an IUD or permanent sterilization may be more suitable, but none of the listed options are ideal.