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Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is assessing a client with suspected hyperthyroidism. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: tremors and heat intolerance are common symptoms of hyperthyroidism due to increased metabolic rate

Question 2 of 5

The client is taking prednisone 7.5 mg po each morning to treat his systemic lupus erythematosis. Which statement best explains the reason for taking the prednisone in the morning?

Correct Answer: D

Rationale: Morning dosing aligns with the body's natural cortisol peak, minimizing adrenal suppression.

Question 3 of 5

A client taking the drug disulfiram (Antabuse) is admitted to the ER. Which clinical manifestations are most indicative of recent alcohol ingestion?

Correct Answer: A

Rationale: Disulfiram causes a severe reaction with alcohol, including vomiting, tachycardia (HR 120), and chest pain due to acetaldehyde accumulation, making these symptoms most indicative.

Question 4 of 5

The charge nurse considers both patient-related and staff-related factors when making daily assignments. All of the following are patient-related factors EXCEPT

Correct Answer: D

Rationale: Nurse-to-client ratio is a staff-related factor, affecting workload distribution. Ventilation, medications, and isolation are patient-specific needs.

Question 5 of 5

Which client is at greatest risk for a caesarean section due to cephalopelvic disproportion (CPD)?

Correct Answer: C

Rationale: A 17-year-old primigravida is at higher risk for CPD due to a potentially underdeveloped pelvis, increasing the likelihood of cesarean delivery.

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