Questions 150

NCLEX-RN

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Extract:


Question 1 of 5

A 4-year-old child is admitted with dehydration due to gastroenteritis. Which assessment finding indicates severe dehydration?

Correct Answer: C

Rationale: Sunken fontanelles in a young child are a sign of severe dehydration, indicating significant fluid loss requiring urgent rehydration.

Question 2 of 5

A client with a history of type 2 diabetes is prescribed exenatide (Byetta). The nurse should instruct the client to:

Correct Answer: A, B

Rationale: Exenatide is taken before meals to control postprandial glucose, and hypoglycemia is a risk.

Question 3 of 5

On the first postpartum day, the nurse is caring for a primiparous client who has recently emigrated from Japan to the United States and speaks only a little English. The nurse observes that the client has been bottle-feeding her neonate on occasion, but most of the neonatal care is being performed by the client's mother-in-law. Which of the following actions would be most appropriate?

Correct Answer: C

Rationale: Assessing whether the mother-in-law's involvement is a cultural practice respects the client's background and avoids misjudging normal family dynamics.

Question 4 of 5

The nurse is evaluating the client's potential for development of a pressure sore. Which of the following individual characteristics would be the best indicator of risk for the client's developing a pressure sore?

Correct Answer: C

Rationale: Immobility is the primary risk factor for pressure sores, as it leads to prolonged pressure on tissues.

Question 5 of 5

A client with a history of depression is prescribed citalopram (Celexa). The nurse should instruct the client to:

Correct Answer: A

Rationale: Citalopram can cause serotonin syndrome, requiring monitoring for agitation and tremors.

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