Questions 151

NCLEX-RN

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Question 1 of 5

A client with a history of rheumatoid arthritis is prescribed etanercept (Enbrel). The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Etanercept, a biologic, increases infection risk due to immunosuppression.

Question 2 of 5

The client is receiving propantheline bromide (Pro-Banthine) to treat cholecystitis. The nurse should evaluate the client's response to the medication by observing for which of the following adverse effects?

Correct Answer: A

Rationale: Propantheline, an anticholinergic, can cause urine retention due to reduced bladder contractility. Diarrhea, hypertension, and diaphoresis are not typical side effects.

Question 3 of 5

A client with a history of epilepsy is admitted with status epilepticus. The nurse should prioritize which of the following interventions?

Correct Answer: A

Rationale: Lorazepam is the priority to stop seizures in status epilepticus.

Question 4 of 5

A medication nurse is supervising a newly hired nurse who is administering pyridostigmine orally to a client diagnosed with myasthenia gravis. Which instruction provided to the client indicates safe practice by the newly hired nurse regarding the administration of this medication?

Correct Answer: A

Rationale: Myasthenia gravis can affect the client's ability to swallow. The primary assessment is to determine the client's ability to swallow. In this situation, there is no reason for the client to lie down to swallow medication or hyperextend the neck. Additionally, lying down could place the client at risk for aspiration. There is no specific reason for the client to void before taking the medication.

Question 5 of 5

Select the age group that is accurately paired with the normal and recommended hours of sleep each day.

Correct Answer: B

Rationale:
Toddlers (1-2 years) typically require 11-14 hours of sleep per day, including naps, which is the correct pairing.

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