Questions 150

NCLEX-RN

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Question 1 of 5

A client with a diagnosis of hyperthyroidism is prescribed methimazole (Tapazole). The nurse should monitor the client for which of the following side effects?

Correct Answer: B

Rationale: Methimazole can cause agranulocytosis, requiring monitoring of white blood cell counts.

Question 2 of 5

A client with a history of heart failure is prescribed spironolactone (Aldactone). Which electrolyte imbalance should the nurse monitor for?

Correct Answer: B

Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, requiring monitoring to prevent arrhythmias.

Question 3 of 5

A nurse is assessing a newborn 12 hours after birth. Which of the following findings should be reported to the physician immediately?

Correct Answer: D

Rationale: Jaundice within 24 hours of birth is pathological and requires immediate evaluation. Milia, Mongolian spots, and caput succedaneum are normal findings.

Question 4 of 5

Which client should the nurse delegate to the unlicensed assistive personnel (UAP)?

Correct Answer: B

Rationale: The UAP can assist with specimen collection such as a clean catch urine because he or she is trained in this skill. Skills requiring nursing intervention such as dressing changes, teaching, and assessment cannot be delegated to unlicensed personnel.

Question 5 of 5

Following cardiac bypass surgery, the client has been referred to a cardiac rehabilitation exercise program. The client is a diabetic and has bilateral leg discomfort with walking. The nurse should advise the client to exercise using a stationary bicycle and intermittent training because of the client's:

Correct Answer: A

Rationale: Diabetic neuropathy likely causes the client's leg discomfort, making low-impact, intermittent stationary cycling suitable to avoid exacerbating symptoms. Other conditions are less likely causes.

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