NCLEX-RN
NCLEX RN Test Bank Questions PDF Questions
Extract:
Question 1 of 5
A client with acute myocardial infarction receives therapy with alteplase. Which finding indicates to the nurse that the client is experiencing a possible complication?
Correct Answer: A
Rationale: Bleeding is an adverse effect of altepase therapy. The bleeding can be superficial or internal and can be spontaneous. None of the remaining options are side or adverse effects of altepase therapy.
Question 2 of 5
A client with atrial fibrillation is prescribed digoxin (Lanoxin). Which finding indicates a potential toxicity?
Correct Answer: B
Rationale: Visual disturbances, such as blurred or yellow vision, are classic signs of digoxin toxicity, requiring immediate reporting.
Question 3 of 5
Which of the following examples should the nurse use to describe bulimia to a group of parents at a local community center?
Correct Answer: D
Rationale: Bulimia is characterized by binge eating followed by purging to prevent weight gain.
Question 4 of 5
The charge nurse determines that the new nurse understands the concepts associated with suicide and suicide intentions when the new nurse makes which statement?
Correct Answer: D
Rationale: Most people who do commit suicide have given definite clues or warnings about their intentions. The individual who is suicidal is not necessarily psychotic. A suicide attempt is not an attention-seeking behavior, and each act should be taken very seriously. Suicide is not an inherited condition. The remaining options are considered myths regarding suicide.
Question 5 of 5
A client with a new colostomy asks the nurse how to prevent skin irritation around the stoma. What is the best response by the nurse?
Correct Answer: C
Rationale: A snug-fitting skin barrier and cleaning with mild soap prevent skin irritation by protecting the peristomal skin and maintaining hygiene without causing trauma.