Questions 150

NCLEX-RN

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Question 1 of 5

A client with a history of seizures is prescribed phenytoin (Dilantin). Which laboratory value should the nurse monitor?

Correct Answer: A

Rationale: Phenytoin can cause hepatotoxicity, so liver function tests should be monitored regularly to detect potential liver damage early.

Question 2 of 5

A client has received an overdose of sympathomimetic agents. The nurse should assess the client for which of the following late signs of an overdose? Select all that apply.

Correct Answer: C, D, E

Rationale: Sympathomimetic overdose can cause seizures, profound pyrexia (fever), and hypertension due to excessive stimulation of the sympathetic nervous system.

Question 3 of 5

Which of the following is NOT an essential minimal component of the teaching that occurs prior to getting an informed consent?

Correct Answer: D

Rationale: Essential components of informed consent include the purpose , expected outcomes , and who will perform the procedure . The specific timing is not a required minimal component.

Question 4 of 5

Which of the following is not considered one of the 'Ten Rights of Medication Administration'?

Correct Answer: A

Rationale: The Ten Rights of Medication Administration include right patient, drug, dose, route, time, documentation, reason, response, refusal, and education. 'Right verification' is not a standard right.

Question 5 of 5

After a lobectomy for lung cancer, the nurse instructs the client to perform deep-breathing exercises to:

Correct Answer: D

Rationale: Deep-breathing exercises expand alveoli, increasing lung surface area for ventilation post-lobectomy.

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