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Free NCLEX RN Exam Practice Questions Questions

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Question 1 of 5

A client with a history of hypothyroidism is prescribed levothyroxine (Synthroid). The nurse should monitor the client for which of the following signs of overdose?

Correct Answer: A

Rationale: Tachycardia indicates levothyroxine overdose due to excessive thyroid hormone.

Question 2 of 5

A client with a history of type 2 diabetes is prescribed pioglitazone (Actos). The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Pioglitazone can cause weight gain due to fluid retention.

Question 3 of 5

A client with a suspected stroke is admitted to the emergency department. What is the nurse's priority action?

Correct Answer: B

Rationale: Assessing neurological status is the priority to establish a baseline and detect changes in a suspected stroke, guiding urgent interventions.

Question 4 of 5

The nurse is conducting walking rounds and observes the client (see figure). The nurse should do which of the following?

Correct Answer: B

Rationale: Raising the side rails ensures client safety, preventing falls, especially if the client is attempting to sit up.

Question 5 of 5

How many mLs will you administer to the client after you use 3.3 mL of normal saline to reconstitute a medication that will yield 12 mg per mL and the doctor's order is as follows. Doctor's order: 25 mg of medication BID

Correct Answer: D

Rationale:
To calculate: 25 mg ÷ 12 mg/mL = 2.083 mL, rounded to 2.1 mL for practical administration.

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A child has been prescribed diphenhydramine hydrochloride (Benadryl) to help control the itching from atopic dermatitis. The nurse should instruct the parents to report: Select all that apply.
Which interventions should the nurse use to assist the client with grandiose delusions? Select all that apply.
A client diagnosed with refractory myasthenia gravis is told by the primary health care provider that plasmapheresis therapy is indicated. When the client asks the nurse to repeat the primary health care provider's reason for prescribing this treatment, the nurse should tell the client that this therapy will most likely improve which problem?
A 20-year-old single parent brings her 3-year-old son into the emergency department because he 'fell.' The child has bruises on his face, arms, and legs; his mother says that she did not witness the fall. The nurse suspects child abuse. While examining the child, the mother says, 'Sometimes I guess I'm pretty rough with him. I'm alone, and I just don't know how to manage him.' The nurse should ask the mother if she would find it helpful to have a referral to:

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