NCLEX Questions, NCLEX RN Practice Questions, NCLEX-RN Questions, Nurselytic

Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

A medication error has occurred, and the client has received double the ordered dosage of magnesium sulfate. The nurse anticipates the physician will order what medication STAT?

Correct Answer: D

Rationale: Magnesium sulfate overdose causes hypermagnesemia, treated with calcium gluconate to counteract toxicity (e.g., respiratory depression, hypotension).

Question 2 of 5

A 14-year-old boy comes in for a yearly exam and confides in the nurse that he feels embarrassed he is shorter than most of the girls in his class. He asks if he will catch up in height. The best therapeutic response from the nurse is

Correct Answer: B

Rationale: This response validates the boy’s feelings, provides factual reassurance about growth during puberty, and is empathetic without dismissing his concerns.

Question 3 of 5

The nurse is performing discharge teaching on a client with ulcerative colitis who has been placed on a low-residue diet. Which food would need to be eliminated from this client's diet?

Correct Answer: C

Rationale: A low-residue diet minimizes fiber to reduce bowel irritation. Cooked broccoli, being high in fiber, should be eliminated, unlike low-fiber foods like roasted chicken, noodles, or roast beef.

Question 4 of 5

An older client says that she frequently experiences stress incontinence and may have to stop playing golf because swinging the golf club often results in small amounts of urinary incontinence. Which of the following suggestions may be most effective?

Correct Answer: B

Rationale: The 'knack' (
B), contracting pelvic floor muscles before swinging, can prevent stress incontinence. Deep breathing (
A) is ineffective, pads (
C) manage but don't prevent, and urinating beforehand (
D) is less effective.

Question 5 of 5

The nurse is preparing to administer an injection of haloperidol decanoate (Haldol D). Which of the following actions by the nurse is MOST appropriate?

Correct Answer: B

Rationale: medication is very irritating to subcutaneous tissue

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