NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client with a history of type 1 diabetes mellitus is prescribed insulin glargine (Lantus). The nurse should explain that this insulin:
Correct Answer: B
Rationale: Insulin glargine provides a steady basal insulin level over 24 hours, used for long-term glucose control.
Question 2 of 5
A client with a history of peptic ulcer disease is prescribed ranitidine (Zantac). The nurse should instruct the client to:
Correct Answer: A
Rationale: Ranitidine is most effective at bedtime to reduce nighttime acid production.
Question 3 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 4 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.
Question 5 of 5
A client is scheduled to have a serum digoxin level obtained. The nurse determines that the blood sample should be drawn at which time in relationship to the administration of digoxin?
Correct Answer: A
Rationale: The purpose of a serum digoxin level is to obtain the serum concentration of the medication to ensure that it is in the therapeutic range. Serum digoxin levels are most often drawn before a dose, although they may be drawn 6 to 8 hours after a dose was administered. Drawing the medication before a dose ensures that the level is not falsely elevated.