Questions 150

NCLEX-RN

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Question 1 of 5

A client with a history of schizophrenia is prescribed clozapine (Clozaril). The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Clozapine can cause agranulocytosis, requiring regular white blood cell monitoring.

Question 2 of 5

The nurse is assessing a client with a suspected urinary tract infection. Which of the following symptoms is most likely to be present?

Correct Answer: A

Rationale: Flank pain is a common symptom of a urinary tract infection, especially if it involves the kidneys.

Question 3 of 5

While assisting the physician with an amniocentesis on a multigravid client at 38 weeks' gestation, the nurse observes that the fluid is very cloudy and thick. The nurse interprets this finding as indicating which of the following?

Correct Answer: B

Rationale: Cloudy, thick amniotic fluid often indicates meconium staining, suggesting fetal distress, which requires further evaluation.

Question 4 of 5

Pelvic inflammatory disease is most often caused by:

Correct Answer: D

Rationale: Neisseria gonorrhoeae is a common cause of pelvic inflammatory disease, often resulting from untreated gonorrhea, leading to infection of the reproductive organs.

Question 5 of 5

A client with a history of seizures is prescribed phenytoin (Dilantin). The nurse should instruct the client to report which of the following side effects immediately?

Correct Answer: C

Rationale: A rash may indicate a serious hypersensitivity reaction to phenytoin, such as Stevens-Johnson syndrome, requiring immediate reporting.

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