NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
You are the Nurse Manager for the trauma unit. Which of these staff comments or statements indicate the need for you to provide an educational activity relating to confidentiality and information security?
Correct Answer: A,B,C
Rationale: Statements A, B, and C indicate breaches of confidentiality: an unattended computer with visible records , a student accessing unauthorized records , and a dietician accessing irrelevant notes . These require education on information security. Refusing to share a password is correct and does not indicate a need for education.
Question 2 of 5
A client with type I diabetes mellitus is scheduled to have surgery. The client has been NPO since midnight. In the morning, the nurse notices the client's daily insulin has not been ordered. The nurse should:
Correct Answer: B
Rationale: Contacting the physician for insulin orders is critical, as NPO status and surgery alter glucose needs, requiring individualized dosing.
Question 3 of 5
A home care nurse is providing instructions to a client who is prescribed zolpidem for insomnia. To produce maximum effectiveness of the medication, what instruction should the nurse provide the client regarding how the medication should be taken?
Correct Answer: D
Rationale: Zolpidem is a sedative. The client should be instructed to take the medication at bedtime and to swallow the medication whole with a full glass of water. For faster onset of sleep, the client should be instructed not to administer the medication with milk or food or immediately after a meal. Antacids should be avoided with the administration of the medication because of interactive effects.
Question 4 of 5
The nurse is caring for a client who has just undergone a craniotomy. Which of the following interventions is most important in the immediate postoperative period?
Correct Answer: A
Rationale: Frequent neurological monitoring is critical post-craniotomy to detect complications like increased intracranial pressure.
Question 5 of 5
A client with a history of atrial fibrillation is prescribed amiodarone (Cordarone). Which side effect should the nurse monitor for?
Correct Answer: A
Rationale: Amiodarone can cause pulmonary toxicity, a serious side effect manifesting as cough or dyspnea, requiring regular monitoring.