NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
The client is prescribed furosemide (Lasix) for heart failure. Which laboratory value should the nurse monitor closely?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, causes potassium loss, risking hypokalemia, which can lead to arrhythmias. Calcium, hemoglobin, and BUN are less directly affected.
Question 2 of 5
With a geriatric client, the nurse should also assess whether he has been obtaining a yearly vaccination against influenza. Why is this assessment important?
Correct Answer: C
Rationale: Older clients have less effective immune systems, increasing their risk for influenza complications, making yearly vaccination critical.
Question 3 of 5
A client with nontropical sprue has an exacerbation of symptoms. Which meal selection is responsible for the recurrence of the client's symptoms?
Correct Answer: C
Rationale: Nontropical sprue (celiac disease) involves gluten intolerance. Crackers in the soup likely contain gluten, triggering symptoms. The other options are gluten-free.
Question 4 of 5
When caring for a client with an anterior cervical discectomy, the nurse should give priority to assessing for post-operative bleeding. The nurse should pay particular attention to:
Correct Answer: D
Rationale: Swelling in the posterior neck may indicate a hematoma, which can compress the airway or spinal cord, making it a priority assessment post-cervical discectomy.
Question 5 of 5
The client is admitted with a diagnosis of ectopic pregnancy. Which symptom is most characteristic of this condition?
Correct Answer: A
Rationale: Ectopic pregnancy often presents with sudden sharp abdominal pain due to tubal stretching or rupture. Painless bleeding is more typical of placenta previa and fever or edema are not characteristic.