NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of atrial fibrillation who is prescribed dronedarone (Multaq). The nurse should monitor the client for which of the following side effects?
Correct Answer: C
Rationale: Dronedarone can cause liver toxicity, requiring regular monitoring of liver function tests.
Question 2 of 5
The nurse is teaching a client with a new diagnosis of epilepsy about self-care. Which of the following instructions should be included?
Correct Answer: A
Rationale: Avoiding swimming alone prevents drowning during a seizure, a key safety measure.
Question 3 of 5
Which of the following should be the nurse's priority assessment after an epidural anesthetic has been administered to a client in labor?
Correct Answer: B
Rationale: Epidurals can cause hypotension due to vasodilation, making blood pressure the priority assessment.
Question 4 of 5
The nurse identifies the type of presentation shown in the fi gure as which of the following?
Correct Answer: C
Rationale: For a complete breech, the buttocks present, the feet and legs are fl exed on the thighs, and the thighs are fl exed on the abdomen. For a frank breech, the buttocks present with the hips fl exed and the legs extended against the abdomen and chest. This is the most common type of breech presentation. For a compound breech, the buttocks present together with another part, such as a hand. This is a rare occurrence. For an incomplete breech, one or both feet or the knees extend below the buttocks. This can also be termed a single footling or double footling breech.
Question 5 of 5
The nurse observes a client during a seizure and notes that the client's entire body became rigid, and the muscles in all four extremities alternated between relaxation and contraction. Which type of seizure should the nurse document that the client had experienced?
Correct Answer: C
Rationale: The description of the seizure, with the entire body becoming rigid (tonic phase) followed by alternating relaxation and contraction of muscles in all four extremities (clonic phase), is characteristic of a tonic-clonic seizure. Partial seizures involve only a portion of the body or brain, absence seizures are brief lapses in awareness without significant motor activity, and complex partial seizures involve altered consciousness with automatisms, none of which match the described symptoms.