NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
During a home visit, the nurse is evaluating an infant for auditory ability. Which of the following is the expected response in an infant with normal hearing?
Correct Answer: A
Rationale: Infants with normal hearing typically pause or stop movements in response to sound, indicating auditory awareness.
Question 2 of 5
A client with a diagnosis of tuberculosis is prescribed isoniazid (INH). The nurse should instruct the client to report which of the following side effects immediately?
Correct Answer: B
Rationale: Yellowing of the skin indicates potential hepatotoxicity, a serious side effect of isoniazid, requiring immediate reporting.
Question 3 of 5
The nurse is caring for a client with a tracheostomy. Which of the following actions is the highest priority to maintain airway patency?
Correct Answer: A
Rationale: Suctioning as needed is the highest priority to maintain airway patency by removing mucus or obstructions from the tracheostomy.
Question 4 of 5
A client with a history of stroke is prescribed clopidogrel (Plavix). The nurse should instruct the client to report which of the following side effects immediately?
Correct Answer: B
Rationale: Bruising may indicate bleeding, a serious side effect of clopidogrel, an antiplatelet medication, requiring immediate reporting.
Question 5 of 5
A client has begun medication therapy with pancrelipase. The nurse should educate the client to expect which occurrence from this medication?
Correct Answer: D
Rationale: Pancrelipase is a pancreatic enzyme used in clients with pancreatitis as a digestive aid. The medication should reduce the amount of fatty stools (steatorrhea). Another intended effect could be improved nutritional status. It is not used to treat abdominal pain or heartburn. It does not regulate blood glucose; this is a function of insulin, a hormone produced in the beta cells of the pancreas.