NCLEX Questions, ATI NCLEX-RN Practice Questions Questions, NCLEX-RN Questions, Nurselytic

Questions 158

NCLEX-RN

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Question 1 of 5

A client is admitted with kidney disease. Which type of intravenous fluid is likely to be ordered for this client?

Correct Answer: B

Rationale: Isotonic fluids (e.g. 0.9% normal saline) are typically used in kidney disease to maintain fluid balance without overloading or stressing impaired kidneys. Hypertonic or hypotonic fluids may disrupt electrolyte balance and colloids are used for specific indications like shock.

Question 2 of 5

The nurse is teaching a client with a history of heart failure about medication adherence. The nurse should tell the client to:

Correct Answer: A

Rationale: Diuretics reduce fluid overload in heart failure, so adherence to prescribed doses is critical to manage symptoms.

Question 3 of 5

Medication is administered to a client who has been placed in restraints after a sudden violent episode, and his EPSs subside. Restraints can be removed when:

Correct Answer: B

Rationale: While the client is still restrained, but after violent behavior has subsided, a therapeutic bridge is built. This alliance encourages dialogue between nurse and client, allowing the client to determine causative factors, feelings prior to loss of control, and adaptive alternatives to violence.

Question 4 of 5

The nurse is caring for a client with a diagnosis of incompetent cervix. Which intervention is most appropriate?

Correct Answer: B

Rationale: Incompetent cervix where the cervix dilates prematurely is treated with cerclage (a stitch to reinforce the cervix).
Tocolytics may be adjunctive fetal distress monitoring is secondary and antibiotics are not routinely indicated.

Question 5 of 5

The nurse is caring for a client with a history of a seizure disorder who is receiving Lamotrigine (Lamictal). The nurse should monitor the client for:

Correct Answer: A

Rationale: Lamotrigine can cause a serious rash, including Stevens-Johnson syndrome, requiring immediate monitoring and reporting. Hypotension, hyperglycemia, and weight gain are not primary concerns.

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