NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
The nurse is teaching a client about warfarin (Coumadin) therapy. Which statement indicates the client understands the teaching?
Correct Answer: B
Rationale: Warfarin increases bleeding risk, so reporting bruising or bleeding is critical to monitor for complications like hemorrhage.
Question 2 of 5
A client with a history of ulcerative colitis is prescribed sulfasalazine (Azulfidine). The nurse should instruct the client to report which of the following side effects immediately?
Correct Answer: B
Rationale: Yellowing of the skin may indicate hepatotoxicity, a serious side effect of sulfasalazine, requiring immediate reporting.
Question 3 of 5
A client with newly diagnosed breast cancer asks the nurse why she needs to have chemotherapy after her breast was removed. Which of the following responses by the nurse is most appropriate?
Correct Answer: A
Rationale: Chemotherapy is used post-mastectomy to target any residual cancer cells, reducing the risk of recurrence.
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 is admitted to the hospital in myasthenic crisis. The nurse should ask the client about which precipitating factor for this event?
Correct Answer: B
Rationale: Myasthenic crisis is often caused by undermedication and responds to the administration of cholinergic medications such as neostigmine and pyridostigmine. Increased sleep and change in diet are not precipitating factors. However, overexertion and overeating could possibly trigger myasthenic crisis. Cholinergic crisis is caused by excess medication and responds to withholding of medications.