Questions 150

NCLEX-RN

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NCLEX RN Practice Questions with Answers Questions

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Question 1 of 5

The nurse cares for a client receiving fludrocortisone acetate for the treatment of Addison's disease. When monitoring the client for improvement, what anticipated therapeutic effect of this medication will the nurse focus on?

Correct Answer: A

Rationale: Fludrocortisone acetate is a long-acting oral medication with mineralocorticoid and moderate glucocorticoid activity that may be used for long-term management of Addison's disease. Mineralocorticoids act on the renal distal tubules to enhance the reabsorption of sodium and chloride ions and the excretion of potassium and hydrogen ions. The client can rapidly develop hypotension and fluid and electrolyte imbalance if the medication is discontinued abruptly. The medication does not affect the immune response or thyroid or thyrotropin production.

Question 2 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 3 of 5

The nurse is teaching a client with hypertension about dietary modifications. Which food should the nurse recommend limiting?

Correct Answer: C

Rationale: Canned soups are high in sodium, which can exacerbate hypertension. Limiting sodium intake is a key dietary modification for blood pressure control.

Question 4 of 5

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

Correct Answer: A,D

Rationale: Aripiprazole can cause weight gain and akathisia (restlessness), which the nurse should monitor.

Question 5 of 5

Clients who are receiving total parenteral nutrition (TPN) are at risk for development of which of the following complications?

Correct Answer: D

Rationale: TPN can cause fluid imbalances due to high glucose and volume loads, requiring close monitoring of intake, output, and electrolytes.

Similar Questions

A client whose condition remains stable after a myocardial infarction gradually increases his activity. Which of the following conditions should the nurse assess to determine whether the activity is appropriate for the client?
A client with a history of schizophrenia is admitted with auditory hallucinations. The nurse should prioritize which of the following interventions?
During the admission interview, an adult client reveals that, as a child, she was sexually abused by her uncle and a male cousin. She reports that she cuts the skin of her arms, legs, and abdomen. In addition to having the client sign a no-harm contract, which nursing intervention is most important?
After teaching the parents of a toddler about appropriate snack foods for their child, the nurse judges that the instructions about not giving the child raisins for snacks are effective when the father states should be following?
The home care nurse is doing an assessment interview with an older adult client who asks the nurse to buy some groceries for her because she is not feeling well today. Which statement should the nurse use in response?

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