NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client with a history of stroke is prescribed ticlopidine (Ticlid). The nurse should monitor the client for which of the following side effects?
Correct Answer: A
Rationale: Ticlopidine, an antiplatelet medication, increases the risk of bleeding, which the nurse should monitor.
Question 2 of 5
Your pregnant client has a new order for a medication. What principle should you apply to this new medication?
Correct Answer: A
Rationale: FDA pregnancy categories C, D, and X indicate potential or known risks to the fetus, making them contraindicated unless benefits outweigh risks.
Question 3 of 5
A nurse is caring for a client who is having an allergic reaction to a blood transfusion. In what order should the nurse provide care for this client?
Order the Items
Source Container
Correct Answer: A,C,D
Rationale: The correct order is: 1) Stop the transfusion to halt the reaction, 2) Keep the vein open with saline to maintain access, 3) Administer antihistamine to manage symptoms, and 4) Send the blood bag to the blood bank for analysis.
Question 4 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.
Question 5 of 5
The nurse is assessing a client with suspected diverticulitis. Which finding supports this diagnosis?
Correct Answer: A
Rationale: Left lower quadrant pain is characteristic of diverticulitis, as diverticula commonly form in the sigmoid colon, causing localized inflammation.