NCLEX-RN
Best NCLEX RN Question Bank Questions
Extract:
Question 1 of 5
The nurse is monitoring a client with a diagnosis of chronic kidney disease (CKD). Which assessment finding should the nurse report to the primary health care provider?
Correct Answer: D
Rationale: CKD can cause damage to many body systems. Hematological manifestations that can occur with this disease include anemia and bleeding. Abnormal bleeding (petechiae; purpura; bruising; bleeding from the mucous membranes, nose, or gums; vaginal bleeding; or intestinal bleeding) should be reported to the primary health care provider because it can be life-threatening. Pallor, fatigue, and lethargy are clinical manifestations associated with anemia.
Question 2 of 5
A client with a history of heart failure is prescribed carvedilol (Coreg). The nurse should instruct the client to:
Correct Answer: A
Rationale: Carvedilol can cause hypotension, requiring regular blood pressure monitoring.
Question 3 of 5
The nurse coordinates with the laboratory staff to have the gentamicin trough serum level drawn. At what time should the blood be drawn in relation to the administration of the I.V. dose of gentamicin sulfate [Garamycin]?
Correct Answer: D
Rationale: The trough level, which measures the lowest drug concentration, is drawn just before the next dose to ensure the drug is within a therapeutic range and to avoid toxicity.
Question 4 of 5
A nurse is assessing a newborn 12 hours after birth. Which of the following findings should be reported to the physician immediately?
Correct Answer: D
Rationale: Jaundice within 24 hours of birth is pathological and requires immediate evaluation. Milia, Mongolian spots, and caput succedaneum are normal findings.
Question 5 of 5
A client with a history of type 2 diabetes mellitus is prescribed glipizide (Glucotrol). The nurse should instruct the client to report which of the following side effects immediately?
Correct Answer: B
Rationale: Hypoglycemia is a serious side effect of glipizide, requiring immediate reporting to prevent complications.