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
A client with a history of depression is prescribed venlafaxine (Effexor). The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A
Rationale: Venlafaxine, an SNRI, can cause hypertension, requiring monitoring.
Question 3 of 5
After a child returns from the postanesthesia care unit after surgery, which of the following should the nurse assess first?
Correct Answer: B
Rationale: Assessing pain first ensures the child's comfort and guides further care, as pain can affect recovery and other assessments.
Question 4 of 5
A 75-year-old man is receiving meperidine (Demerol) after surgery. For which of the following side effects of meperidine should the nurse carefully evaluate the client?
Correct Answer: A
Rationale: Meperidine can cause respiratory depression, especially in the elderly, requiring careful monitoring. Seizures are a concern with high doses, but respiratory depression is more immediate.
Question 5 of 5
A client with a history of stroke is prescribed ticlopidine (Ticlid). The nurse should monitor the client for which of the following side effects?
Correct Answer: A
Rationale: Ticlopidine, an antiplatelet medication, increases the risk of bleeding, which the nurse should monitor.