Questions 150

NCLEX-RN

NCLEX-RN Test Bank

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Question 1 of 5

A client with a history of heart failure is prescribed eplerenone (Inspra). The nurse should monitor the client for which of the following side effects?

Correct Answer: A

Rationale: Eplerenone, a potassium-sparing diuretic, can cause hyperkalemia, requiring monitoring of potassium levels.

Question 2 of 5

Which of the following is most closely aligned with the principles and concepts of informed consent?

Correct Answer: C

Rationale: Informed consent is most closely aligned with self-determination , as it empowers clients to make autonomous decisions about their care based on full disclosure of information.

Question 3 of 5

A client with a history of chronic kidney disease is prescribed calcitriol (Rocaltrol). The nurse should instruct the client to:

Correct Answer: A

Rationale: Calcitriol can cause hypercalcemia, requiring monitoring for symptoms like confusion.

Question 4 of 5

The nurse should instruct the parents of a school-age child with hemophilia to implement which of the following when the child develops bleeding into a joint? Select all that apply.

Correct Answer: A,C

Rationale: Resting the joint and administering factor VIII therapy are critical to manage bleeding in hemophilia. Heat and physical therapy may worsen bleeding, and topical antifibrinolytics are not effective for joint bleeds.

Question 5 of 5

What are the nursing implications associated with administering blood and blood products to a client who has a blood type of B negative?

Correct Answer: C

Rationale: B negative blood type has anti-A agglutinins (antibodies against A antigen) and lacks the Rh factor, requiring careful matching to avoid transfusion reactions.

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