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

Which of these skills is most closely related to successfully meeting the established priority needs of a group of clients?

Correct Answer: A

Rationale: Time management skills are critical for prioritizing and addressing the needs of multiple clients efficiently, ensuring that high-priority tasks are completed in a timely manner.

Question 3 of 5

A family member asks to take the client, who is on aneurysm precautions, to the unit lounge for 'just a few minutes.' Which concepts should the nurse use when explaining why the client must remain in the room?

Correct Answer: C

Rationale: Subarachnoid precautions (or aneurysm precautions) are intended to minimize environmental stimuli, which could increase intracranial pressure and trigger bleeding or rupture of the aneurysm. The aneurysm will not heal more rapidly with reduced stimuli. The client does not need isolation to 'cope' with photosensitivity (although photosensitivity may be a problem). No data indicate that the client has disorganization of thoughts and feelings.

Question 4 of 5

A client with a history of type 2 diabetes mellitus is prescribed metformin (Glucophage). The nurse should instruct the client to report which of the following side effects immediately?

Correct Answer: C

Rationale: Lactic acidosis is a rare but serious side effect of metformin, requiring immediate reporting of symptoms like muscle pain or weakness.

Question 5 of 5

A child with meningococcal meningitis is being admitted to the pediatric unit. In preparation for the child's arrival, the nurse should first?

Correct Answer: A

Rationale: Meningococcal meningitis is transmitted via droplets, so instituting precautions is the priority to prevent spread.

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