NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
The nurse is performing a physical assessment on a client with rheumatoid arthritis. The nurse assesses the client's hands and notes which characteristic deformities? Refer to the figure.
Correct Answer: A
Rationale: Ulnar drift occurs when synovitis stretches and damages the tendons, and eventually the tendons become shortened and fixed. This damage causes subluxation (drift) of the joints. All of the conditions that are identified in the options can occur in rheumatoid arthritis; however, the figure pictures ulnar drift.
Question 2 of 5
Which of these stress management techniques employs deep focused breathing, movement and meditation?
Correct Answer: B
Rationale: Tai Chi combines deep breathing, slow movements, and meditation, making it an effective stress management technique.
Question 3 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 4 of 5
The nurse is caring for a client with chronic renal failure. Knowing that the client is a candidate for development of hypermagnesemia, for which of the following signs and symptoms should the nurse assess the client?
Correct Answer: B
Rationale: Hypermagnesemia can cause lethargy due to its depressive effects on the central nervous system.
Question 5 of 5
A client with a history of bipolar disorder is prescribed valproic acid (Depakene). The nurse should instruct the client to report which of the following side effects immediately?
Correct Answer: B
Rationale: Yellowing of the skin indicates potential hepatotoxicity, a serious side effect of valproic acid, requiring immediate reporting.