NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
Intravenous 5% albumin is prescribed for a client with burns of the anterior chest and both legs. The nurse contacts the primary health care provider before administering the human albumin if which are noted in the client's record? Select all that apply.
Correct Answer: A,D
Rationale: Five percent albumin is classified as a blood derivative and is contraindicated in severe anemia, cardiac failure, history of allergic reaction, renal insufficiency, and when no albumin deficiency is present. It is used with caution in clients with low cardiac reserve, pulmonary disease, or hepatic or renal failure.
Question 2 of 5
A 3-month-old is admitted to the pediatric unit with moderate dehydration. The nurse should assess the client for:
Correct Answer: B, C
Rationale: Moderate dehydration in an infant is indicated by a rapid, thready pulse and decreased skin elasticity due to fluid loss.
Question 3 of 5
A nurse who organizes and establishes a political action committee (PAC) in their local community to address issues relating to the accessibility and affordability of healthcare resources in the community is serving in which capacity and role of the registered nurse?
Correct Answer: A
Rationale: By organizing a PAC to address healthcare accessibility and affordability, the nurse is acting as a client advocate . This role involves promoting the health and well-being of clients and communities by addressing systemic issues, such as access to care, through community and political engagement.
Question 4 of 5
Ibuprofen 400 mg orally four times daily has been prescribed for an older client with a diagnosis of rheumatoid arthritis. The client asks the nurse about the amount of medication prescribed. The nurse responds based on understanding what about this prescribed dosage?
Correct Answer: A
Rationale: For acute or chronic rheumatoid arthritis or osteoarthritis, the normal oral adult dose for an older client is 200 to 800 mg 3 to 4 times a day.
Therefore, the remaining options are incorrect.
Question 5 of 5
A client is taking nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain from rheumatoid arthritis. What instruction should the nurse give the client about NSAIDs?
Correct Answer: A
Rationale: Taking NSAIDs with food and fluids reduces gastrointestinal irritation, a common side effect. Gradual dose reduction, mouth rinsing, or avoiding driving are not standard instructions for NSAIDs.