NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
The mother of an older infant reports stopping the prescribed iron supplements after 2 weeks of treatment. Which of the following responses by the nurse is most appropriate?
Correct Answer: B
Rationale: Iron supplements are typically prescribed for several weeks to correct iron deficiency anemia, and stopping early may prevent full recovery. Retesting may be needed later, but continuing the medication is the priority. Diet alone may not suffice, and stopping medication prematurely is incorrect.
Question 2 of 5
The nurse is monitoring a client diagnosed with hypercalcemia. Which assessment finding indicates a need for follow-up?
Correct Answer: B
Rationale: The client with hypercalcemia is at risk for formation of blood clots. Clotting is more likely to occur in the lower legs, pelvic region, and areas where blood flow is blocked (causing constriction). The nurse should assess for impaired blood flow by measuring calf circumference with a soft tape measure and assess temperature, color, and capillary refill. Decreased capillary refill may be indicative of a clot. The client with hypercalcemia may also exhibit decreased peristalsis, decreased deep tendon reflexes, altered level of consciousness, hypoactive or absent bowel sounds, or increased abdominal circumference as a result of decreased peristalsis.
Question 3 of 5
A client with a history of bipolar disorder is prescribed valproic acid (Depakene). 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 valproic acid, requiring immediate reporting.
Question 4 of 5
A multigravid client is scheduled for a percutaneous umbilical blood sampling procedure. The nurse instructs the client that this procedure is useful for diagnosing which of the following?
Correct Answer: C
Rationale: Percutaneous umbilical blood sampling is used to diagnose fetal conditions like Rh disease by directly sampling fetal blood for analysis.
Question 5 of 5
A 75-year-old man is receiving meperidine (Demerol) after surgery. For which of the following side effects of meperidine should the nurse carefully evaluate the client?
Correct Answer: A
Rationale: Meperidine can cause respiratory depression, especially in the elderly, requiring careful monitoring. Seizures are a concern with high doses, but respiratory depression is more immediate.