NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
The nurse caring for a client with diabetes realizes that the client has a higher risk of developing cataracts and:
Correct Answer: D
Rationale: Diabetic retinopathy, encompassing both background and proliferative types, is a common complication of diabetes due to chronic hyperglycemia affecting retinal blood vessels.
Question 2 of 5
The nurse is assessing a client with a suspected anaphylactic reaction. Which of the following interventions is the highest priority?
Correct Answer: A
Rationale: Administering epinephrine is the highest priority in anaphylaxis to reverse airway constriction and hypotension.
Question 3 of 5
A client with a history of atrial fibrillation is prescribed digoxin (Lanoxin). The nurse should teach the client to report which of the following symptoms as a potential sign of toxicity?
Correct Answer: B
Rationale: Yellow-green visual halos are a classic sign of digoxin toxicity, indicating the need for immediate medical evaluation.
Question 4 of 5
A client with type I diabetes mellitus is scheduled to have surgery. The client has been NPO since midnight. In the morning, the nurse notices the client's daily insulin has not been ordered. The nurse should:
Correct Answer: B
Rationale: Contacting the physician for insulin orders is critical, as NPO status and surgery alter glucose needs, requiring individualized dosing.
Question 5 of 5
The nurse is teaching a client with a new diagnosis of type 1 diabetes about insulin administration. Which of the following instructions should be included?
Correct Answer: A, D
Rationale: Rotating injection sites prevents lipodystrophy, and room-temperature insulin reduces injection discomfort.