NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to teach the parents of a child diagnosed with anemia about the dietary sources of iron that are easy for the body to absorb. Which food items should the nurse include in the teaching plan as the best source of absorbable iron? Select all that apply.
Correct Answer: A,C
Rationale: Dietary sources of iron that are easy for the body to absorb include meat, poultry, and fish. Vegetables, fruits, cereals, and breads are also dietary sources of iron, but they are harder for the body to absorb.
Question 2 of 5
A client with a history of gout is prescribed allopurinol (Zyloprim). Which instruction should the nurse include?
Correct Answer: B
Rationale: Drinking plenty of fluids prevents uric acid crystal formation in the kidneys, a key consideration for clients taking allopurinol.
Question 3 of 5
A multigravid client is scheduled for a percutaneous umbilical blood sampling procedure. The nurse instructs the client that this procedure is useful for diagnosing which of the following?
Correct Answer: C
Rationale: Percutaneous umbilical blood sampling is used to diagnose fetal conditions like Rh disease by directly sampling fetal blood for analysis.
Question 4 of 5
A home care nurse is providing instructions to a client who is prescribed zolpidem for insomnia. To produce maximum effectiveness of the medication, what instruction should the nurse provide the client regarding how the medication should be taken?
Correct Answer: D
Rationale: Zolpidem is a sedative. The client should be instructed to take the medication at bedtime and to swallow the medication whole with a full glass of water. For faster onset of sleep, the client should be instructed not to administer the medication with milk or food or immediately after a meal. Antacids should be avoided with the administration of the medication because of interactive effects.
Question 5 of 5
A client was admitted to the hospital with a diagnosis of frequent symptomatic premature ventricular contractions (PVCs). After sitting up in a chair for a few minutes, the client reports feeling lightheaded. Which finding should the nurse anticipate on auscultation of the heartbeat?
Correct Answer: B
Rationale: The most accurate means of assessing pulse rhythm is by auscultation of the apical pulse. When a client has PVCs, the rate is irregular and if the radial pulse is taken, a true picture of what is occurring is not obtained. A very slow regular apical pulse indicates bradycardia. A very rapid regular apical pulse indicates tachycardia.