NCLEX Questions, ATI NCLEX-RN Practice Questions Questions, NCLEX-RN Questions, Nurselytic

Questions 158

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is assessing a client with suspected hypercalcemia. Which finding is most consistent with this condition?

Correct Answer: B

Rationale: Hypercalcemia causes constipation due to reduced gastrointestinal motility. Muscle weakness, hypotension, and bradypnea are more common than hypertension or tachypnea.

Question 2 of 5

The client is prescribed albuterol (Proventil) for asthma. Which side effect should the nurse monitor for?

Correct Answer: B

Rationale: Albuterol, a beta-agonist, stimulates the sympathetic nervous system, causing tremors as a common side effect. Tachycardia (not bradycardia), hypertension, and diarrhea are more likely than hypotension or constipation.

Question 3 of 5

The nurse is caring for an eight-year-old following a routine tonsillectomy. Which finding should be reported immediately?

Correct Answer: D

Rationale: Respiratory stridor post-tonsillectomy suggests airway obstruction, a life-threatening complication requiring immediate reporting. The other findings are normal or less urgent.

Question 4 of 5

The nurse is assessing a six-year-old following a tonsillectomy. Which one of the following signs is an early indication of hemorrhage?

Correct Answer: A

Rationale: Drooling of bright red secretions indicates active bleeding post-tonsillectomy, an early sign of hemorrhage requiring immediate attention.

Question 5 of 5

A client is admitted to the hospital with seizures. The client has jerking of the right arm and twitching of the face, but is alert and aware of the seizure. This behavior is characteristic of which type of seizure?

Correct Answer: C

Rationale: Simple partial seizures involve focal symptoms (e.g., arm jerking, facial twitching) without loss of consciousness. Absence (
A) causes staring, complex partial (
B) impairs consciousness, and tonic-clonic (
D) involves generalized convulsions.

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