NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
The nurse is administering epoetin alfa to a client diagnosed with chronic kidney disease (CKD). For which adverse effect of this therapy should the nurse monitor the client?
Correct Answer: B
Rationale: The client taking epoetin alfa is at risk of hypertension and seizure activity as the most serious adverse effects of therapy. This medication is used to treat anemia. The medication does not cause iron intoxication. Bleeding tendencies is not an adverse effect of this medication.
Question 2 of 5
Select the member of the multidisciplinary team that you would most likely collaborate with when the client is at risk for falls due to an impaired gait.
Correct Answer: A
Rationale: A physical therapist specializes in assessing and improving gait and mobility, making them the most appropriate team member to collaborate with for a client at risk for falls due to impaired gait.
Question 3 of 5
A client with a fracture is placed in skeletal traction. What is the nurse's priority assessment?
Correct Answer: A
Rationale: Monitoring skin integrity at pin sites is critical to detect infection or tissue breakdown in skeletal traction.
Question 4 of 5
A nurse who fails to check a client's armband before administering his medications is:
Correct Answer: A
Rationale: Failing to check a client's armband before administering medications is negligent, as it violates patient safety protocols for verifying identity.
Question 5 of 5
A client is diagnosed with a flail chest. Which characteristics related to breathing should the nurse observe for in the client?
Correct Answer: D
Rationale: The client with flail chest is in obvious respiratory distress. The client has severe dyspnea and cyanosis accompanied by paradoxical chest movement. Respirations are shallow, rapid, and grunting in nature.