Questions 150

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions with Answers Questions

Extract:


Question 1 of 5

An infant is at risk for an ileus after surgery to correct intussusception. Which observation should the nurse not include in an assessment for this complication?

Correct Answer: A

Rationale: Urine specific gravity is unrelated to assessing for ileus, which involves monitoring bowel sounds, stool characteristics, and gastric output to detect gastrointestinal function.

Question 2 of 5

The nurse reviews the client's laboratory report to determine the client's blood level of valproic acid (Depakene), which is 35 mcg/mL. Based on this report, what should the nurse do first?

Correct Answer: B

Rationale: A valproic acid level of 35 mcg/mL is below the therapeutic range (50-100 mcg/mL), indicating a need to notify the physician for potential dose adjustment.

Question 3 of 5

A client with a history of heart failure is prescribed metoprolol (Lopressor). The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Metoprolol, a beta-blocker, can cause bradycardia, requiring heart rate monitoring.

Question 4 of 5

A client with a history of chronic kidney disease is prescribed darbepoetin alfa (Aranesp). The nurse should monitor the client for which of the following side effects?

Correct Answer: B

Rationale: Darbepoetin alfa can cause hypertension due to increased red blood cell production, requiring monitoring.

Question 5 of 5

You are working in a community pediatric health clinic. Which developmental task should you apply into your practice?

Correct Answer: A

Rationale: According to Erikson's developmental stages, preschool children (ages 3-5) are in the stage of Initiative vs. Guilt, where they develop a sense of purpose through exploration and play. This is the appropriate developmental task to apply in a pediatric clinic for this age group.

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