Questions 150

NCLEX-RN

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Extract:


Question 1 of 5

Which of the following baseline laboratory data should be established before a client is started on tissue plasminogen activator or alteplase recombinant (Activase)?

Correct Answer: C

Rationale: These tests assess bleeding risk, critical before administering thrombolytics like alteplase, which can cause hemorrhage.

Question 2 of 5

Select the electrolyte that is accurately paired with its normal level.

Correct Answer: A

Rationale: Normal phosphate levels are 0.81 to 1.45 mmol/L (2.5 to 4.5 mg/dL), making this the correct pairing.

Question 3 of 5

The nurse is teaching a client with a new diagnosis of gout about medication management. Which of the following medications should the client expect to take for long-term management?

Correct Answer: A

Rationale: Allopurinol reduces uric acid production for long-term gout management.

Question 4 of 5

The nurse is teaching a client with a new diagnosis of hypertension about medication adherence. Which of the following statements by the client indicates a need for further teaching?

Correct Answer: C

Rationale: Stopping medication when feeling fine indicates a misunderstanding, as hypertension requires ongoing treatment.

Question 5 of 5

A client with a history of rheumatoid arthritis is prescribed methotrexate. The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Methotrexate can cause hepatotoxicity, requiring regular liver function tests.

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