NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

When assessing a client for risk of hyperphosphatemia, which piece of information is most important for the nurse to obtain?

Correct Answer: D

Rationale: Dietary intake, particularly of phosphorus-rich foods, is the most significant factor in assessing hyperphosphatemia risk, as excessive intake can elevate serum phosphate levels.

Question 2 of 5

A school nurse is suspicious that a child is being physically abused at home. The nurse's responsibility is to

Correct Answer: D

Rationale: Nurses are mandated reporters and must report suspected child abuse to local authorities for investigation, prioritizing child safety.

Question 3 of 5

The nurse is preparing to administer a dose of metoprolol (Lopressor) to a client with hypertension. The client’s heart rate is 58 beats per minute. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: metoprolol is a beta-blocker, and a heart rate of 58 beats per minute is below the threshold for administration, requiring physician notification

Question 4 of 5

An obstetrical client has just been diagnosed with cardiac disease. The nurse should give priority to:

Correct Answer: B

Rationale: Monitoring pulse and respirations helps assess cardiac function and detect complications early in a client with cardiac disease.

Question 5 of 5

A client has orders for zoledronic acid (Reclast). Which lab value finding would prompt the nurse to notify the prescriber?

Correct Answer: C

Rationale: Zoledronic acid can worsen renal function. A creatinine clearance of 29 mL/min (indicating renal impairment) requires prescriber notification.

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