Questions 150

NCLEX-RN

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Question 1 of 5

The nurse cares for a client who is pale and frequently reports fatigue, weakness, and dizziness. Which serum laboratory test result is the nurse's priority for planning care?

Correct Answer: D

Rationale: The client's hemoglobin level and sodium level are low; however, the nurse uses the hemoglobin results to plan care because the client's clinical indicators are consistent with anemia. The client is pale because the serum hemoglobin is low; thus, the client's tissues are perfused with blood that has a low oxygen-carrying capacity. The client is weak and dizzy because the blood does not carry enough oxygen to meet tissue oxygen demands. The normal sodium level is 135 to 145 mEq/L (135 to 145 mmol/L). Although a client who is hyponatremic can also feel weak and dizzy, a hyponatremic client is unlikely to be pale. The hematocrit and the potassium levels are within normal limits.

Question 2 of 5

A client with a history of type 2 diabetes is prescribed sitagliptin (Januvia). The nurse should instruct the client to:

Correct Answer: B

Rationale: Sitagliptin can cause pancreatitis, requiring monitoring for abdominal pain.

Question 3 of 5

A client at 37 weeks' gestation is scheduled for a biophysical profile. Which of the following should the nurse instruct the client to do before the test?

Correct Answer: A

Rationale: Drinking 1-2 L of fluid ensures adequate amniotic fluid volume, which is assessed during a biophysical profile.

Question 4 of 5

The first thing that you should do immediately after a client accident is to:

Correct Answer: C

Rationale: The first action after a client accident is to assess the client to determine the extent of injury and immediate needs, following the nursing process.

Question 5 of 5

Ergonovine maleate (Ergotrate) 200 mcg I.M. has been ordered. The ampule label reads 0.2 mg/mL. The nurse should administer how many milliliters?

Correct Answer: C

Rationale: First, convert micrograms to milligrams: 200 mcg = 0.2 mg.
Then: 0.2 mg / X mL = 0.2 mg / 1 mL, so X = 1 mL.

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