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

A client's laboratory test results reveal a decrease in both serum transferrin and total iron-binding capacity (TIBC). Which disorder is the most likely cause of the client's anemia?

Correct Answer: B

Rationale: Malnutrition can cause reductions in the serum transferrin and the TIBC. Infection is an unrelated option. Iron-deficiency anemia is usually characterized by decreased iron-binding capacity but increased transferrin levels. Additionally, in clinical practice, the hemoglobin level is routinely used to detect iron-deficiency anemia. Sickle cell anemia is diagnosed by determining that the client has hemoglobin S.

Question 3 of 5

Select the types and stages of conflict that are accurately paired with their description. Select all that apply.

Correct Answer: B,D,F,G

Rationale: Conceptualization is correctly described as understanding the conflict's nature. Resolution refers to conflicts that can be resolved. Approach-Approach (F) involves choosing between desirable alternatives, and Approach-Avoidance (G) involves alternatives with both positive and negative aspects. Frustration is not about personal agendas but emotional responses, Taking action involves implementing solutions, not just feelings, and Avoidance-Avoidance is a type, not a stage, of conflict.

Question 4 of 5

The client received electroconvulsive therapy (ECT) an hour ago and tells the nurse that he has a headache. Which response by the nurse is best?

Correct Answer: B

Rationale: Offering acetaminophen addresses the client's complaint directly and safely, as headaches are a common side effect of ECT. Informing the client that headaches are common does not provide relief, and a nap or unclear commands are not appropriate responses.

Question 5 of 5

You are working in a community pediatric health clinic. Which expected life transition should you apply into your practice for these pediatric clients as you are caring for pediatric clients of all ages?

Correct Answer: B

Rationale: Puberty is a significant life transition for pediatric clients, particularly adolescents, and is relevant across the age range in a pediatric clinic. It involves physical, emotional, and social changes that nurses should consider in their practice.

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