NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
The nurse is assessing a client with suspected hypovolemia. Which of the following findings would support this diagnosis? Select all that apply.
Correct Answer: A, B, C, D
Rationale: Hypovolemia presents with tachycardia, hypotension, dry mucous membranes, and decreased urine output due to fluid loss.
Question 2 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 3 of 5
A client with a history of peptic ulcer disease is prescribed ranitidine (Zantac). The nurse should instruct the client to:
Correct Answer: A
Rationale: Ranitidine is most effective at bedtime to reduce nighttime acid production.
Question 4 of 5
One of the roles of the registered nurse in terms of informed consent is to:
Correct Answer: A
Rationale: The nurse's role in informed consent includes serving as a witness to the client's signature , confirming that the client signed voluntarily after being informed. The nurse does not obtain the consent or involve the durable power of attorney in signing .
Question 5 of 5
A client with a diagnosis of osteoarthritis is prescribed celecoxib (Celebrex). The nurse should instruct the client to report which of the following side effects immediately?
Correct Answer: B
Rationale: Chest pain may indicate a cardiovascular event, a serious side effect of celecoxib, requiring immediate reporting.