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NCLEX RN Questions with Detailed Explanations Questions

Extract:


Question 1 of 5

Which of the following signs and symptoms is an early indication that a client has developed hypocalcemia?

Correct Answer: A

Rationale: Tingling in the fingers is an early sign of hypocalcemia due to neuromuscular irritability. Depressed reflexes, dysrhythmias, and memory changes are later or less specific.

Question 2 of 5

A client with a history of schizophrenia is prescribed quetiapine (Seroquel). The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A, D

Rationale: Quetiapine can cause weight gain and hypotension.

Question 3 of 5

A nulliparous client says that she and her husband plan to use a diaphragm with spermicide to prevent conception. Which of the following should the nurse include as the action of spermicides when teaching the client?

Correct Answer: A

Rationale: Spermicides destroy spermatozoa before they can enter the cervix, preventing fertilization.

Question 4 of 5

The nurse is caring for a client who has just returned to the nursing unit after an intravenous pyelogram (IVP). Which of the following nursing interventions is most appropriate at this time?

Correct Answer: A

Rationale: Encouraging a large fluid intake post-IVP helps flush the contrast dye from the kidneys, reducing the risk of nephrotoxicity.

Question 5 of 5

A newborn infant is diagnosed with imperforate anus. Which description of this disorder should the nurse provide to the parents?

Correct Answer: B

Rationale: Imperforate anus (anal atresia, anal agenesis) is the incomplete development or absence of the anus in its normal position in the perineum. Option 1 describes encopresis. Encopresis generally affects preschool and school-age children. Option 3 describes constipation. Constipation can affect any child at any time, although it peaks at age 2 to 3 years. Option 4 describes intussusception.

Similar Questions

The nurse is counseling a client regarding treatment of the client's newly diagnosed depression. The nurse emphasizes that full benefit from antidepressant therapy usually takes how long?
The nurse reviewing a urinalysis report for a client with the diagnosis of acute kidney injury notes that the results are highly positive for proteinuria. The nurse determines that this client has which type of renal failure?
After abdominal surgery, a client has an order for meperidine (Demerol) I.M. 100 mg every 3 to 4 hours and acetaminophen (Tylenol) with codeine 30 mg. The client has been taking meperidine every 4 hours for the past 48 hours, but she tells the nurse that the meperidine is no longer lasting 4 hours and she needs to have it every 3 hours. Which of the following nursing actions is most appropriate?
The nurse is assessing a neonate at 5 minutes after birth. The nurse records the Apgar score based on the findings in the chart A. The nurse compares these findings to the Apgar score obtained at birth, as determined by the findings in the chart B. What should the nurse do next?
You are caring for a multiple trauma client who has just arrived at the emergency room with a number of other external disaster victims. This client has multiple blast injuries and hypovolemic shock; it is anticipated that this unstable critically injured and unconscious client will have long term intravenous therapy, blood products and possibly hyperalimentation as well. Which type of venous access would you most likely anticipate for this client?

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