NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client with heart failure is prescribed spironolactone (Aldactone). The nurse should monitor for which of the following electrolyte imbalances?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, increasing the risk of hyperkalemia. Hypokalemia is associated with loop diuretics, and hyponatremia or hypercalcemia are less likely.
Question 2 of 5
A client is preparing for discharge 10 days after a radical vulvectomy. The nurse determines that the client has the best understanding of the measures to prevent complications when the client expresses plans to engage in which activity after discharge?
Correct Answer: A
Rationale: The client should resume activity slowly, and walking is a beneficial activity. The client should know to rest when fatigue occurs. Activities to be avoided include driving, heavy housework, wearing tight clothing, crossing the legs, and prolonged standing or sitting. Sexual activity is usually prohibited for 4 to 6 weeks after surgery.
Question 3 of 5
A client with newly diagnosed breast cancer asks the nurse why she needs to have chemotherapy after her breast was removed. Which of the following responses by the nurse is most appropriate?
Correct Answer: A
Rationale: Chemotherapy is used post-mastectomy to target any residual cancer cells, reducing the risk of recurrence.
Question 4 of 5
A client with a diagnosis of diverticulitis is prescribed a high-fiber diet. Which of the following foods should the nurse recommend?
Correct Answer: B
Rationale: Broccoli is high in fiber, supporting bowel regularity in diverticulitis, unlike low-fiber foods like white rice or bread.
Question 5 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.