Questions 150

NCLEX-RN

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Question 1 of 5

The clinic nurse is reviewing the laboratory reports for a client who is taking allopurinol (Zyloprim). Which of the following laboratory findings indicates that the allopurinol is having the desired effect?

Correct Answer: A

Rationale: Allopurinol reduces serum uric acid levels by inhibiting xanthine oxidase, which is its therapeutic effect in treating gout.

Question 2 of 5

Which of the following is an effective security plan that you may most likely want to consider for implementation within your facility?

Correct Answer: C,D

Rationale: Restricting visitors in special care areas and using bar-coded client identification bands are effective security measures to enhance safety and protect client identity, respectively.

Question 3 of 5

Which sound should you expect to hear when you percuss the liver during a complete physical assessment?

Correct Answer: D

Rationale: The liver, a solid organ, produces a dull sound when percussed, as opposed to the tympanic sound of air-filled structures or the resonant sound of lung tissue.

Question 4 of 5

A client with a history of seizures is prescribed phenytoin (Dilantin). The nurse should instruct the client to report which of the following side effects?

Correct Answer: A

Rationale: Phenytoin commonly causes gingival hyperplasia, which should be reported to manage oral health and adjust treatment if needed.

Question 5 of 5

The nurse is assessing a client with irreversible shock. The nurse should document which of the following?

Correct Answer: B

Rationale: Irreversible shock is characterized by circulatory collapse, with failure of vital organs due to inadequate perfusion, a critical finding to document.

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