NCLEX Questions, NCLEX Trainer Test 4 Questions, NCLEX-PN Questions, Nurselytic

Questions 157

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Extract:

The nurse is reviewing client assignments on a medical/surgical unit.


Question 1 of 5

The nurse determines that the assignment is appropriate if the nursing assistant is caring for which of the following clients?

Correct Answer: A

Rationale: Strategy: Assign clients with standard, unchanging procedures. (1) correct-standard, unchanging procedure (2) assign to the RN (3) assign to the RN (4) assign to the RN

Extract:


Question 2 of 5

The nurse is caring for a client with a history of bipolar disorder who is receiving valproic acid (Depakote) 500 mg PO bid. Which of the following laboratory results would be of GREATest concern to the nurse?

Correct Answer: A

Rationale: Elevated liver enzymes suggest hepatotoxicity, a serious side effect of valproic acid, requiring immediate evaluation to prevent liver failure. Options B, C, and D are normal: sodium 140 mEq/L, potassium 4.0 mEq/L, and hemoglobin 13 g/dL do not indicate complications.

Question 3 of 5

Which item should be kept at the bedside of a client who has just returned from having a thyroidectomy?

Correct Answer: D

Rationale: A tracheostomy set is essential due to the risk of airway obstruction from swelling or hemorrhage post-thyroidectomy. Options A, B, and C are less critical in this context.

Question 4 of 5

The nurse is caring for a client who is receiving IV gentamicin for a gram-negative infection. Which of the following laboratory results would be of GREATest concern to the nurse?

Correct Answer: A

Rationale: A creatinine of 2.5 mg/dL indicates renal impairment, a serious complication of gentamicin due to nephrotoxicity, requiring immediate evaluation. Options B, C, and D are normal: sodium 140 mEq/L, potassium 4.0 mEq/L, and hemoglobin 13 g/dL do not indicate complications.

Question 5 of 5

Which of the following statements best describes the gross motor development of a 2-year old?

Correct Answer: B

Rationale: A 2-year-old can typically walk up and down stairs with support, a key gross motor milestone. Skipping , riding a tricycle , and broad jumping are skills developed later, around 3-5 years.

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