NCLEX-RN
NCLEX RN High-Yield Questions Questions
Question 1 of 5
A client's chest tube is connected to a drainage system with a water seal. The nurse notes that the fluid in the water-seal column is fluctuating with each breath that the client takes. The fluctuation means that:
Correct Answer: C
Rationale: Fluctuation in the water-seal column with breathing indicates the chest tube is patent and functioning correctly, reflecting intrathoracic pressure changes.
Question 2 of 5
A client with a history of type 1 diabetes mellitus is prescribed insulin glargine (Lantus). The nurse should explain that this insulin:
Correct Answer: B
Rationale: Insulin glargine provides a steady basal insulin level over 24 hours, used for long-term glucose control.
Question 3 of 5
A client with a history of ulcerative colitis is prescribed sulfasalazine (Azulfidine). The nurse should instruct the client to report which of the following side effects immediately?
Correct Answer: B
Rationale: Yellowing of the skin may indicate hepatotoxicity, a serious side effect of sulfasalazine, requiring immediate reporting.
Question 4 of 5
A family may request to have a client of Vietnamese descent transferred to die at home because it is traditionally believed that:
Correct Answer: C
Rationale: In Vietnamese culture, dying at home is often preferred, as it is believed to provide more comfort and spiritual peace for the patient and family.
Question 5 of 5
The nurse instructs a client who is taking iron supplements that:
Correct Answer: A
Rationale: Iron supplements are best absorbed on an empty stomach to maximize efficacy.