Questions 150

NCLEX-RN

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Question 1 of 5

A client with rheumatoid arthritis is prescribed methotrexate. Which laboratory value should the nurse monitor?

Correct Answer: A

Rationale: Methotrexate can cause hepatotoxicity, so monitoring liver function tests is essential.

Question 2 of 5

A 72-year-old client is referred for counseling. During the initial nursing assessment, the client denies the need for counseling. The nurse would agree with the client if she made which of the following comments?

Correct Answer: C

Rationale: Increased energy and activity post-grief suggest the client is coping well, supporting her denial of needing counseling.

Question 3 of 5

The clinic nurse is reviewing the laboratory reports for a client who is taking allopurinol (Zyloprim). Which of the following laboratory findings indicates that the allopurinol is having the desired effect?

Correct Answer: A

Rationale: Allopurinol reduces serum uric acid levels by inhibiting xanthine oxidase, which is its therapeutic effect in treating gout.

Question 4 of 5

Sulfadiazine has been ordered for a client who has a urinary tract infection. Which of the following recommend is most appropriate for administering sulfonamides?

Correct Answer: B

Rationale: Adequate hydration (8 glasses of water daily) prevents crystalluria, a complication of sulfonamides.

Question 5 of 5

The nurse is conducting health assessments for school-age children. A characteristic behavior of a 7-year-old girl is that she:

Correct Answer: C

Rationale: At 7 years, children typically enjoy social interaction and team games, reflecting their developmental stage of cooperative play.

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