NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
When planning the care for a client diagnosed with hepatitis A, which of the following nursing interventions should the nurse expect to include? Select all that apply.
Correct Answer: B,D,E
Rationale: Hepatitis A care includes relieving nausea and vomiting, encouraging small meals to improve nutrition, and planning rest periods due to fatigue. Exercise and pain medication are not typically needed.
Question 2 of 5
The nurse is caring for a client with a history of heart failure who is receiving digoxin (Lanoxin). Which of the following findings would indicate digoxin toxicity?
Correct Answer: A
Rationale: Blurred vision is a classic sign of digoxin toxicity, along with nausea, confusion, and arrhythmias, due to excessive drug levels affecting the nervous system.
Question 3 of 5
The nurse in a rehabilitation center is planning the client assignments for the day. Which client has needs that can be most safely met by the unlicensed assistive personnel (UAP)?
Correct Answer: A
Rationale: The nurse must assign tasks based on the guidelines of nursing practice acts and the job description of the employing agency. Unlicensed assistive personnel are trained to care for the client on bed rest and to maintain 24-hour urine collections. The nurse should provide instructions to unlicensed assistive personnel regarding the tasks, but the tasks required for this client are within the role description of unlicensed assistive personnel. A client scheduled to be transferred to the hospital for coronary artery bypass surgery, a client scheduled for an invasive diagnostic procedure, and a client who had a BKA have both physiological and psychosocial needs.
Question 4 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 5 of 5
The nurse is assessing a client with suspected diverticulitis. Which finding supports this diagnosis?
Correct Answer: A
Rationale: Left lower quadrant pain is characteristic of diverticulitis, as diverticula commonly form in the sigmoid colon, causing localized inflammation.