Questions 150

NCLEX-RN

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Question 1 of 5

The nurse is teaching a client with a new diagnosis of hyperthyroidism about medication management. Which of the following medications should the client expect to take?

Correct Answer: A, D

Rationale: Methimazole and propylthiouracil inhibit thyroid hormone production in hyperthyroidism.

Question 2 of 5

The nurse is caring for a client who has just undergone a total hip replacement. Which of the following positions should the nurse avoid placing the client in?

Correct Answer: A

Rationale: Crossing the legs post-hip replacement risks dislocation of the prosthesis and should be avoided.

Question 3 of 5

The nurse assesses a client and notes puffy eyelids, swollen ankles, and crackles at both lung bases. The nurse understands that these clinical findings are most specifically associated with fluid excess in which of the following compartments?

Correct Answer: C

Rationale: These symptoms indicate fluid excess in the extracellular compartment, which includes interstitial spaces (edema) and intravascular spaces (contributing to lung crackles).

Question 4 of 5

The nurse is assessing a client with irreversible shock. The nurse should document which of the following?

Correct Answer: B

Rationale: Irreversible shock is characterized by circulatory collapse, with failure of vital organs due to inadequate perfusion, a critical finding to document.

Question 5 of 5

A school-age child diagnosed with attention deficit hyperactivity disorder is prescribed methylphenidate (Ritalin). Which of the following should alert the school nurse to the possibility that the child is experiencing a common side effect of the drug?

Correct Answer: A

Rationale: Loss of appetite is a common side effect of methylphenidate, often leading to weight loss. Vomiting and photosensitivity are less common, and weight gain is not typical.

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