Questions 150

NCLEX-RN

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NCLEX RN Test Bank with Rationales Questions

Extract:


Question 1 of 5

A postoperative client is prescribed incentive spirometry. What is the primary purpose of this intervention?

Correct Answer: A

Rationale: Incentive spirometry encourages deep breathing to expand alveoli, preventing atelectasis after surgery.

Question 2 of 5

A client with a diagnosis of rheumatoid arthritis is prescribed methotrexate (Rheumatrex). The nurse should teach the client to avoid which of the following while taking this medication?

Correct Answer: B

Rationale: Alcohol consumption should be avoided with methotrexate due to the increased risk of hepatotoxicity.

Question 3 of 5

A client has soft wrist restraints to prevent her from pulling out her nasogastric tube. Which of the following nursing interventions should be implemented while the restraints are on the client?

Correct Answer: D

Rationale: Checking the client every 30 minutes ensures safety, circulation, and skin integrity while restraints are in use. Restraints should be removed every 2 hours for care, not 4, and securing to side rails is unsafe.

Question 4 of 5

A client is admitted with acute glomerulonephritis. The nurse should monitor the client for which of the following?

Correct Answer: A, D

Rationale: Acute glomerulonephritis can cause hypertension (due to fluid retention) and hypoalbuminemia (due to proteinuria).

Question 5 of 5

A client with a diagnosis of schizophrenia is prescribed risperidone (Risperdal). The nurse should monitor the client for which of the following side effects?

Correct Answer: A,D

Rationale: Risperidone can cause weight gain and extrapyramidal symptoms like tremors, which the nurse should monitor.

Similar Questions

The nurse is providing medication instructions to a client who is prescribed imipramine daily. Which statement by the client indicates a need for further teaching?
A client diagnosed with glomerulonephritis and at risk of developing acute kidney injury should be monitored for which complication?
The nurse is caring for a client who has just undergone a coronary artery bypass graft (CABG). Which of the following interventions is most important in the immediate postoperative period?
The nurse is evaluating the status of a client with the diagnosis of myasthenia gravis. The nurse interprets that the client's medication regimen may not be optimal if the client continues to experience fatigue occurring at which time?
A client has had a cardiac catheterization. The left femoral dressing has a moderate amount of bloody drainage, and the client has severe pain in that area. The nurse should first:

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