NCLEX-RN
NCLEX RN Practice Questions with Answers Questions
Extract:
Question 1 of 5
The nurse caring for a client after shoulder arthroplasty for rheumatoid arthritis monitors the client for brachial plexus compromise. To assess the status of the median nerve, which action would the nurse perform?
Correct Answer: D
Rationale:
To assess the median nerve status, the client should be instructed to grasp the nurse's hand. The nurse should note the strength of the client's first and second fingers. A weak grip may indicate compromise of the median nerve. Asking the client to spread all fingers wide and resist pressure assesses the ulnar nerve status. Monitoring for flexion of the biceps by raising the forearm assesses the cutaneous nerve status. Asking the client to move the thumb toward the palm and back to neutral position assesses the radial nerve status.
Question 2 of 5
The nurse is caring for a client with a diagnosis of Parkinson's disease who is taking benztropine mesylate daily. When assessing the client, what should the nurse specifically monitor for to determine if the client is experiencing a side effect of this medication?
Correct Answer: D
Rationale: Urinary retention is a side effect of benztropine mesylate, an anticholinergic medication. The nurse needs to observe for dysuria, distended abdomen, voiding in small amounts, and overflow incontinence. The remaining options do not relate to this medication.
Question 3 of 5
The nurse should instruct the client prescribed docusate to monitor for which intended effect of the medication?
Correct Answer: D
Rationale: Docusate is a stool softener that promotes absorption of water into the stool, producing a softer consistency of stool. The intended effect is relief or prevention of constipation. The medication does not relieve abdominal pain, relieve heartburn, or decrease the amount of fat in the stools.
Question 4 of 5
A nurse is instructing a client about the use of nitroglycerin patches. The nurse should instruct the client to:
Correct Answer: A,C
Rationale: Nitroglycerin patches require a daily nitrate-free interval (typically at night) to prevent tolerance, and the site should be rotated daily to avoid skin irritation.
Question 5 of 5
The nurse should instruct a woman taking folic acid supplements for folic acid-deficiency anemia that:
Correct Answer: D
Rationale: Pregnancy, lactation, and oral contraceptive use increase folic acid requirements due to increased metabolic demands.