NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
When assessing for signs of a blood transfusion reaction in a client with dark skin, the nurse should assess for which of the following?
Correct Answer: B
Rationale: Diaphoresis is a visible sign of a transfusion reaction, detectable regardless of skin tone, indicating an acute response.
Question 2 of 5
Long-term administration of gentamicin sulfate (Garamycin) to a client has been discontinued. The nurse should assess which of the following?
Correct Answer: C
Rationale: Gentamicin can cause ototoxicity, affecting the vestibular system, so a vestibular check in 3 to 4 weeks is necessary to assess for balance issues. The other options are not directly related to gentamicin's side effects.
Question 3 of 5
A client is to receive 2 g of metronidazole (Flagyl) orally in a single dose. The medication is available in 500-mg tablets. How many tablets should the nurse administer?
Correct Answer: 4 tablets.
Rationale: 2 g equals 2000 mg. Dividing 2000 mg by 500 mg per tablet results in 4 tablets.
Question 4 of 5
A client with a history of gout is admitted with joint pain. The nurse should include which of the following in the plan of care?
Correct Answer: A
Rationale: Increased fluid intake promotes uric acid excretion in gout.
Question 5 of 5
A client with a history of hypothyroidism is admitted with myxedema coma. The nurse should prioritize which of the following interventions?
Correct Answer: A
Rationale: Intravenous levothyroxine is the priority to correct severe hypothyroidism in myxedema coma.