Questions 150

NCLEX-RN

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Question 1 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.

Question 2 of 5

An obese diabetic client complains of bilateral leg aching. His physician has referred him to cardiac rehabilitation to start an exercise program. Which of the following activities is most helpful for the client?

Correct Answer: A

Rationale: Stationary cycling is low-impact, suitable for an obese diabetic client, minimizing joint stress while improving cardiovascular health.

Question 3 of 5

An adult client has bacterial conjunctivitis. What should the nurse teach him to do? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Warm saline soaks, careful antibiotic application, hand washing, and avoiding eye contact prevent spread and promote healing. Isolation is unnecessary unless specified.

Question 4 of 5

A client is admitted to the hospital after sustaining a fall from a roof. The client has multiple lacerations and a right leg fracture, which has been treated with a plaster cast. How should the nurse position the client's leg to promote optimal circulation?

Correct Answer: D

Rationale: A casted extremity is elevated continuously for the first 24 to 48 hours to minimize swelling and promote venous drainage. The other options are not part of standard positioning of the newly casted extremity.

Question 5 of 5

A client with a history of hypothyroidism is admitted with fatigue. The nurse should monitor the client for which of the following laboratory abnormalities?

Correct Answer: A, B

Rationale: Hypothyroidism presents with elevated TSH and decreased free T4.

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