NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
One of the roles of the registered nurse in terms of informed consent is to:
Correct Answer: A
Rationale: The nurse's role in informed consent includes serving as a witness to the client's signature , confirming that the client signed voluntarily after being informed. The nurse does not obtain the consent or involve the durable power of attorney in signing .
Question 2 of 5
A client with a history of ulcerative colitis is prescribed sulfasalazine (Azulfidine). The nurse should instruct the client to report which of the following side effects immediately?
Correct Answer: B
Rationale: Yellowing of the skin may indicate hepatotoxicity, a serious side effect of sulfasalazine, requiring immediate reporting.
Question 3 of 5
A client with a history of stroke is prescribed ticlopidine (Ticlid). The nurse should monitor the client for which of the following side effects?
Correct Answer: A
Rationale: Ticlopidine, an antiplatelet medication, increases the risk of bleeding, which the nurse should monitor.
Question 4 of 5
The nurse is caring for a client with a history of heart failure who is receiving digoxin (Lanoxin). Which of the following findings would indicate digoxin toxicity?
Correct Answer: A
Rationale: Blurred vision is a classic sign of digoxin toxicity, along with nausea, confusion, and arrhythmias, due to excessive drug levels affecting the nervous system.
Question 5 of 5
The nurse is preparing a client for a colonoscopy. Which instruction is most important?
Correct Answer: B
Rationale: A clear liquid diet the day before ensures the colon is clear for accurate visualization during the colonoscopy.