Questions 150

NCLEX-RN

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Question 1 of 5

Identify this cardiac rhythm strip. Fill in the blank. A. Idioventricular Rhythm B. Bundle Branch Block C. Sinus bradycardia D. Atrial Flutter

Correct Answer: C

Rationale: Sinus bradycardia is characterized by a regular rhythm with a rate below 60 beats per minute, assuming the strip shows this pattern.

Question 2 of 5

The nurse is teaching a client with a new diagnosis of rheumatoid arthritis about medication management. Which of the following medications should the client expect to take?

Correct Answer: A

Rationale: Methotrexate is a disease-modifying antirheumatic drug (DMAR
D) commonly used for rheumatoid arthritis.

Question 3 of 5

Select the client who is at greatest risk for the development of cancer.

Correct Answer: A

Rationale: Alcohol abuse is a known risk factor for several cancers, including liver, esophageal, and breast cancer, due to chronic inflammation and carcinogenic effects of alcohol metabolites.

Question 4 of 5

A 9-year-old child is newly diagnosed with type 1 diabetes mellitus. The nurse is planning for home care with the child and the family and determines that which is an age-appropriate activity for health maintenance?

Correct Answer: B

Rationale: School-age children have the cognitive and motor skills to draw up and administer insulin with adult supervision. Developmentally, they do not yet have the maturity to make independent decisions such as about sliding-scale coverage without adult validation. Options requiring adult to manage insulin administration and glucose monitoring suppress the maximum level of independence appropriate to the level of this child.

Question 5 of 5

A client with a history of hypothyroidism is prescribed levothyroxine (Synthroid). The nurse should instruct the client to:

Correct Answer: B

Rationale: Grapefruit juice can interfere with levothyroxine absorption, so it should be avoided.

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