NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a child with diabetes mellitus at camp. The child is irritable and has a headache. Which of the following should the nurse do first?
Correct Answer: C
Rationale: Checking the blood glucose level determines whether the symptoms are due to hypo- or hyperglycemia, guiding treatment.
Question 2 of 5
The nurse teaches the client with cirrhosis that he is achieving the expected effect of lactulose (Cephulac) when he has:
Correct Answer: B
Rationale: Lactulose is used in cirrhosis to reduce ammonia levels by promoting 2–3 soft stools per day. Fewer or more frequent stools may indicate under- or overdosing.
Question 3 of 5
A client’s arterial blood gas values are as follows: These findings indicate which of the following acidbase imbalances?
Correct Answer: A
Rationale: The pH of 7.24 indicates that the client is acidotic. The carbon dioxide level is normal, but the HCO3 level is decreased. These findings indicate that the client is in metabolic acidosis.
Question 4 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 5 of 5
When assessing a dark-skinned client for cyanosis, the nurse should examine which of the following?
Correct Answer: C
Rationale: The oral mucous membranes are the most reliable site for assessing cyanosis in dark-skinned clients, as they show color changes more clearly.