Questions 150

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NCLEX RN Test Bank with Rationales Questions

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Question 1 of 5

The nurse is caring for a client with a history of atrial fibrillation who is prescribed sotalol (Betapace). The nurse should monitor the client for which of the following side effects?

Correct Answer: B

Rationale: Sotalol, a beta-blocker, can cause bradycardia, requiring close monitoring of heart rate.

Question 2 of 5

Which statement about referrals is accurate?

Correct Answer: A

Rationale: Referrals enhance the healthcare team's ability to provide comprehensive care by connecting clients to specialized services, not limited to discharge or internal resources .

Question 3 of 5

A client taking clozapine (Clozaril) states, 'I think I'm getting the flu. I have a fever and feel weak.' Which of the following should the nurse do next?

Correct Answer: D

Rationale: Fever and weakness in a client taking clozapine may indicate agranulocytosis, a serious side effect, requiring immediate physician notification after confirming the temperature.

Question 4 of 5

A client with Parkinson's disease is prescribed levodopa-carbidopa (Sinemet). The nurse should instruct the client to:

Correct Answer: B

Rationale: Vitamin B6 can reduce the effectiveness of levodopa, so clients should avoid B6 supplements.

Question 5 of 5

The most appropriate toys to give to a 5-month-old infant are:

Correct Answer: D

Rationale: Soft, washable toys are safe and appropriate for a 5-month-old, who explores through touch and mouthing.
Toy cars and puzzles are choking hazards, and stuffed animals may pose hygiene risks.

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