NCLEX-RN
Free NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is assessing elderly clients at a community center. Which of the following findings would be the most cause for concern?
Correct Answer: D
Rationale: Rales bilaterally on chest auscultation suggest fluid in the lungs, which could indicate serious conditions like heart failure or pneumonia, requiring immediate attention. Dry mouth, height loss, and stiffened joints are common in aging but less urgent.
Question 2 of 5
The nurse is caring for a client receiving Capoten (captopril). The nurse should be alert for adverse reactions to the drug, which include:
Correct Answer: C
Rationale: Captopril, an ACE inhibitor, can cause agranulocytosis, leading to a decreased white cell count, which should be monitored.
Question 3 of 5
A client's lab results have just come in. The nurse reviews the electrolytes and contacts the health care provider regarding which result?
Correct Answer: A
Rationale: Chloride 167 mEq/L is severely elevated (normal 98-106 mEq/L), requiring immediate attention. Other values are normal.
Question 4 of 5
The nurse notes the patient care assistant looking through the personal items of the client with cancer. Which action should be taken by the registered nurse?
Correct Answer: B
Rationale: Reporting to the charge nurse ensures proper investigation.
Question 5 of 5
A client with epilepsy is taking phenytoin. What long-term effects should the nurse advise the client can occur with prolonged administration of phenytoin? Select all that apply.
Correct Answer: A,B,E
Rationale: Phenytoin's long-term effects include gingival hypertrophy (
A), hirsutism (
B), and anemia (E). Facial hypertrophy (
C) and dementia (
D) are not associated with phenytoin.