NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
When assessing a dark-skinned client for cyanosis, the nurse should examine which of the following?
Correct Answer: C
Rationale: The oral mucous membranes are the most reliable site for assessing cyanosis in dark-skinned clients, as they show color changes more clearly.
Question 2 of 5
A client has a prescription to take magnesium citrate to prevent constipation after upper and lower gastrointestinal (GI) barium studies. The nurse tells the client that which is the best way to take this medication?
Correct Answer: D
Rationale: Magnesium citrate is available as an oral solution. It is commonly used as a laxative after certain studies of the GI tract. It should be served chilled and taken with a full glass of water. It should not be allowed to stand for prolonged periods. Allowing the medication to stand would reduce the carbonation and make the solution even less palatable. The remaining options are incorrect.
Question 3 of 5
A client prescribed albuterol sulfate by inhalation cannot cough up secretions. The nurse should teach the client which action to best help clear the bronchial secretions?
Correct Answer: D
Rationale: The client should take in increased fluids (2000 to 3000 mL/day unless contraindicated) to make secretions less viscous. This may help the client expectorate secretions. This is standard advice given to clients receiving any of the adrenergic bronchodilators, such as albuterol, unless the client has another health problem that could be worsened by increased fluid intake. Additional exercise will not effectively clear bronchial secretions. A dehumidifier will dry secretions. The client would not be advised to take additional medication.
Question 4 of 5
A client with a history of asthma is admitted with an exacerbation. The nurse should administer which of the following medications as prescribed? Select all that apply.
Correct Answer: A, B, C
Rationale: Albuterol, ipratropium, and prednisone treat acute asthma exacerbations by relieving bronchospasm and inflammation.
Question 5 of 5
A client is scheduled to have a serum digoxin level obtained. The nurse determines that the blood sample should be drawn at which time in relationship to the administration of digoxin?
Correct Answer: A
Rationale: The purpose of a serum digoxin level is to obtain the serum concentration of the medication to ensure that it is in the therapeutic range. Serum digoxin levels are most often drawn before a dose, although they may be drawn 6 to 8 hours after a dose was administered. Drawing the medication before a dose ensures that the level is not falsely elevated.