NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
Which of the following responses is most helpful for a client who is euphoric, intrusive, and interrupts other clients engaged in conversations to the point where they get up and leave or walk away?
Correct Answer: A
Rationale: This response provides objective feedback about the behavior's impact, encouraging self-awareness without being judgmental, which is therapeutic for a client with euphoria, likely in a manic state.
Question 2 of 5
The nurse is assessing a client with suspected hypovolemia. Which of the following findings would support this diagnosis? Select all that apply.
Correct Answer: A, B, C, D
Rationale: Hypovolemia presents with tachycardia, hypotension, dry mucous membranes, and decreased urine output due to fluid loss.
Question 3 of 5
A multigravid client is scheduled for a percutaneous umbilical blood sampling procedure. The nurse instructs the client that this procedure is useful for diagnosing which of the following?
Correct Answer: C
Rationale: Percutaneous umbilical blood sampling is used to diagnose fetal conditions like Rh disease by directly sampling fetal blood for analysis.
Question 4 of 5
A client is admitted to the hospital in myasthenic crisis. The nurse should ask the client about which precipitating factor for this event?
Correct Answer: B
Rationale: Myasthenic crisis is often caused by undermedication and responds to the administration of cholinergic medications such as neostigmine and pyridostigmine. Increased sleep and change in diet are not precipitating factors. However, overexertion and overeating could possibly trigger myasthenic crisis. Cholinergic crisis is caused by excess medication and responds to withholding of medications.
Question 5 of 5
The nurse is preparing a client for a colonoscopy. Which instruction is most important?
Correct Answer: B
Rationale: A clear liquid diet the day before ensures the colon is clear for accurate visualization during the colonoscopy.