Questions 150

NCLEX-RN

NCLEX-RN Test Bank

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Question 1 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.

Question 2 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 3 of 5

A client with a history of type 2 diabetes is prescribed exenatide (Byetta). The nurse should instruct the client to:

Correct Answer: A, B

Rationale: Exenatide is taken before meals to control postprandial glucose, and hypoglycemia is a risk.

Question 4 of 5

A client with a hip fracture is scheduled for surgery. Which preoperative teaching should the nurse include?

Correct Answer: C

Rationale: Incentive spirometry prevents postoperative pulmonary complications like atelectasis, critical for a client with limited mobility post-hip surgery.

Question 5 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.

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