NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
You are caring for a client who has been taking illicit amphetamines and states that they continue to use this illicit drug because they 'suffer and feel lousy' when they try to stop taking it. Which nursing diagnosis is the most appropriate for this client?
Correct Answer: D
Rationale: The client's symptoms of feeling 'lousy' when stopping the drug indicate physical dependence, as the body has adapted to the presence of amphetamines, leading to withdrawal symptoms upon cessation.
Question 2 of 5
A client is taking nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain from rheumatoid arthritis. What instruction should the nurse give the client about NSAIDs?
Correct Answer: A
Rationale: Taking NSAIDs with food and fluids reduces gastrointestinal irritation, a common side effect. Gradual dose reduction, mouth rinsing, or avoiding driving are not standard instructions for NSAIDs.
Question 3 of 5
The nurse is teaching a client about the use of a metered-dose inhaler with a spacer. Which step should the client perform first?
Correct Answer: A
Rationale: Shaking the inhaler first ensures the medication is properly mixed for effective delivery through the spacer.
Question 4 of 5
The nurse is teaching a client with a new diagnosis of type 1 diabetes about insulin administration. Which of the following instructions should be included?
Correct Answer: A, D
Rationale: Rotating injection sites prevents lipodystrophy, and room-temperature insulin reduces injection discomfort.
Question 5 of 5
The nurse is performing a physical assessment on a client with rheumatoid arthritis. The nurse assesses the client's hands and notes which characteristic deformities? Refer to the figure.
Correct Answer: A
Rationale: Ulnar drift occurs when synovitis stretches and damages the tendons, and eventually the tendons become shortened and fixed. This damage causes subluxation (drift) of the joints. All of the conditions that are identified in the options can occur in rheumatoid arthritis; however, the figure pictures ulnar drift.