NCLEX-RN
RN NCLEX Next Gen Questions Questions
Extract:
Question 1 of 5
Which federal law is most closely associated with the highly restrictive 'need to know'?
Correct Answer: C
Rationale: The Health Insurance Portability and Accountability Act (HIPA
A) enforces the 'need to know' principle, restricting access to protected health information to only those who require it for their job functions.
Question 2 of 5
A client with a history of epilepsy is prescribed phenobarbital. The nurse should monitor the client for which of the following side effects?
Correct Answer: A
Rationale: Phenobarbital commonly causes drowsiness, which the nurse should monitor in clients with epilepsy.
Question 3 of 5
A client with a history of type 1 diabetes mellitus is prescribed insulin aspart (NovoLog). The nurse should explain that this insulin:
Correct Answer: B
Rationale: Insulin aspart is a rapid-acting insulin administered immediately before meals to control postprandial glucose.
Question 4 of 5
A client demonstrating unstable ventricular tachycardia (VT) loses consciousness and becomes pulseless after an initial treatment with a dose of lidocaine intravenously. Which item should the nurse caring for the client immediately obtain?
Correct Answer: B
Rationale: For the client with VT who becomes pulseless, the primary health care provider or qualified advanced cardiac life support personnel immediately defibrillate the client. In the absence of this equipment, cardiopulmonary resuscitation is initiated immediately. None of the remaining options are items that are needed immediately to manage this situation.
Question 5 of 5
A client has a positive sputum culture for Mycobacterium tuberculosis and is prescribed streptomycin as part of the treatment. The nurse determines that the client is experiencing a toxic effect of the medication when which test result is abnormal?
Correct Answer: D
Rationale: BUN and creatinine are measured during therapy with streptomycin because the medication is nephrotoxic. Vision testing is done during treatment with ethambutol. The client taking isoniazid for tuberculosis is at risk for hepatotoxicity. Hemoglobin and hematocrit are not specifically related to tuberculosis.