NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 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 2 of 5
The nurse is caring for a client who has experienced severe multiple trauma. The client's arterial blood gases reveal low arterial oxygen levels that are not responsive to high concentrations of oxygen. The nurse is aware that this finding is a major indicator of the development of which of the following conditions?
Correct Answer: C
Rationale: Low arterial oxygen levels unresponsive to high oxygen concentrations are indicative of ARDS, often seen in severe trauma due to lung injury. Pneumonia, shock, and asthma present differently.
Question 3 of 5
The nurse is caring for a client with a history of hyperlipidemia who is prescribed atorvastatin (Lipitor). Which of the following laboratory tests should the nurse monitor?
Correct Answer: B
Rationale: Atorvastatin can cause hepatotoxicity, requiring regular monitoring of liver function tests.
Question 4 of 5
Which of the following responses is most helpful for a client who is euphoric, intrusive, and interrupts other clients engaged in conversations to the point where they get up and leave or walk away?
Correct Answer: A
Rationale: This response provides objective feedback about the behavior's impact, encouraging self-awareness without being judgmental, which is therapeutic for a client with euphoria, likely in a manic state.
Question 5 of 5
A client takes aluminum hydroxide tablets as needed for heartburn. The nurse teaches the client that which is the most common side effect of this medication?
Correct Answer: D
Rationale: Because of the antacid's aluminum base, aluminum hydroxide causes constipation as a side effect. The other side effect is hypophosphatemia, which is noted by monitoring serum laboratory studies. The other options are not side effects of this medication.