Questions 150

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NCLEX RN Test Bank with Rationales Questions

Extract:


Question 1 of 5

Neuroleptic malignant syndrome is suspected in a client who is prescribed an atypical antipsychotic medication. Which medication should the nurse prepare in anticipation of being prescribed to treat this adverse effect related to the use of this medication?

Correct Answer: A

Rationale: Bromocriptine is a dopamine pathway medication used in the treatment of neuroleptic malignant syndrome. Protamine sulfate is the antidote for heparin overdose. Vitamin K is the antidote for warfarin overdose. Enalapril maleate is an angiotensin-converting enzyme inhibitor and an antihypertensive that is used in the treatment of hypertension.

Question 2 of 5

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?

Correct Answer: B

Rationale: Imipramine is a tricyclic antidepressant (TC
A). The client should be instructed to take the medication (a single dose) at bedtime and not in the morning because it causes fatigue and drowsiness. The client is told to avoid alcohol or other central nervous system depressants during therapy and that medication effects may not be noticed for at least 2 weeks. The client is instructed to take the medication exactly as directed, and if a dose is missed, to take it as soon as possible unless it is almost time for the next dose.

Question 3 of 5

The most appropriate toys to give to a 5-month-old infant are:

Correct Answer: D

Rationale: Soft, washable toys are safe and appropriate for a 5-month-old, who explores through touch and mouthing.
Toy cars and puzzles are choking hazards, and stuffed animals may pose hygiene risks.

Question 4 of 5

Which nursing assessment findings indicate normal vital signs in a newborn infant?

Correct Answer: C

Rationale: The normal pulse rate for a newborn is 120 to 160. The normal respiratory rate for a newborn infant is 30 to 60 breaths per minute.
Therefore, the other options are incorrect.

Question 5 of 5

The nurse is caring for a client with a history of atrial fibrillation who is prescribed sotalol (Betapace). The nurse should monitor the client for which of the following side effects?

Correct Answer: B

Rationale: Sotalol, a beta-blocker, can cause bradycardia, requiring close monitoring of heart rate.

Similar Questions

The charge nurse on the postpartum unit has received report about a client with a fetal demise who has just delivered and will be ready for transfer out of Labor and Delivery in about 2 hours. The client has asked her primary nurse if she can stay on the unit since she found support from the nursing staff there. What action should the charge nurse on the postpartum unit take?
The client scheduled for a transurethral resection prostatectomy (TURP) asks the nurse to explain how the prostate is going to be removed. The nurse should tell the client that the prostate will be removed through which pathway?
The nurse is assessing a client with a suspected myocardial infarction. Which of the following findings is most indicative of this condition?
The nurse-manager on the medical unit is teaching the staff about the medication reconciliation policy. The nurse teaches the staff that reconciliation is needed to ensure that clients are on the correct medications in which situations? Select all that apply.
The nurse is caring for a client with a history of seizures. Which precaution should be implemented?

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