NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 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 2 of 5
The nurse is teaching a client with gastroesophageal reflux disease (GERD) about dietary modifications. Which of the following foods should the client avoid?
Correct Answer: B
Rationale: Chocolate relaxes the lower esophageal sphincter, worsening GERD symptoms, and should be avoided.
Question 3 of 5
A client with a diagnosis of rheumatoid arthritis is prescribed tofacitinib (Xeljanz). The nurse should monitor the client for which of the following side effects?
Correct Answer: A
Rationale:
Tofacitinib, a JAK inhibitor, increases the risk of infections due to immune suppression.
Question 4 of 5
Your client has a doctor's order for 1200 mLs of intravenous fluid every 8 hours. Your shift began at 8 am and there were 600 mLs remaining in the intravenous fluid bag. How many mLs would you expect to see at 12 noon?
Correct Answer: A
Rationale:
To calculate: 1,200 mL ÷ 8 hours = 150 mL/hr. From 8 AM to 12 noon (4 hours), 4 × 150 = 600 mL infused. Starting with 600 mL, 600 - 600 = 0 mL remaining.
Question 5 of 5
When assessing a child receiving tobramycin sulfate (Nebcin), which findings would indicate that the child is experiencing adverse effects? Select all that apply.
Correct Answer: C, E
Rationale:
Tobramycin, an aminoglycoside, can cause nephrotoxicity (indicated by weight gain from fluid retention), ototoxicity (ringing in the ears), and allergic reactions (rash). Fever, increased blood pressure, and decreased heart rate are not typical adverse effects.