Questions 150

NCLEX-RN

NCLEX-RN Test Bank

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Question 1 of 5

The nurse reviews the serum laboratory results for a client prescribed hydrochlorothiazide. Which most frequent side effect of this medication should the nurse specifically monitor for?

Correct Answer: A

Rationale: The client taking a potassium-losing diuretic must be monitored for decreased potassium levels. Other fluid and electrolyte imbalances that occur with the use of this medication include hyponatremia, hypercalcemia, hypomagnesemia, and hypophosphatemia.

Question 2 of 5

The lack of necessary supplies and equipment to adequately and safely care for patients is an example of a (n):

Correct Answer: B

Rationale: The lack of necessary supplies and equipment is a system variance , as it reflects a failure in the healthcare system's resources, impacting safe care delivery.

Question 3 of 5

Which of these is a form of therapeutic communication?

Correct Answer: D

Rationale: Silence is a therapeutic communication technique that allows the client time to process thoughts and emotions, fostering reflection.

Question 4 of 5

The nurse is caring for a client who is having an acute asthma attack. The nurse should notify the physician of which of the following?

Correct Answer: C

Rationale: Decreased breath sounds indicate severe airway obstruction in an asthma attack, requiring immediate physician notification.

Question 5 of 5

The nurse reviews the client's health care record and notes that the client is taking donepezil hydrochloride. Understanding the purpose of this medication, the nurse suspects this client has which medical problem?

Correct Answer: A

Rationale: Donepezil hydrochloride is a cholinergic agent that is used in the treatment of mild to moderate dementia of the Alzheimer's type. It enhances cholinergic functions by increasing the concentration of acetylcholine. It slows the progression of Alzheimer's disease. None of the remaining options are conditions that are treated with this medication.

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