NCLEX Questions, NCLEX RN Exam Questions Questions, NCLEX-RN Questions, Nurselytic

Questions 158

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Question 1 of 5

The client is admitted with a suspected stroke. Which diagnostic test is most likely to confirm the diagnosis?

Correct Answer: B

Rationale: A CT scan is the initial test to confirm a stroke, distinguishing ischemic from hemorrhagic types. EEG is for seizures, lumbar puncture is for infections, and ECG assesses cardiac status.

Question 2 of 5

A 30-year-old client has been admitted to the psychiatric service with the diagnosis of schizophrenia. He tells the nurse that when the woman he had been dating broke up with him, the CIA had replaced her with an identical twin. The client is experiencing:

Correct Answer: B

Rationale: There are no indications that the client's thoughts reflect special powers or talents characteristic of grandiosity. The client's thought content is fixed, false, persecutory, and suspicious in nature, which is characteristic of paranoid delusions. (C,
D) The client is not demonstrating a sensory experience.

Question 3 of 5

A client with Addison's disease is receiving Solu-Medrol (methylprednisolone). Which of the following interventions would the nurse implement?

Correct Answer: C

Rationale: Addison’s disease involves adrenal insufficiency and methylprednisolone replaces deficient corticosteroids. Monitoring sodium and potassium levels is essential as Addison’s can cause hyperkalemia and hyponatremia which may be affected by steroid therapy.

Question 4 of 5

The nurse is providing discharge teaching for a client taking naltrexone (Revia). The nurse should instruct the client to avoid which over-the-counter medication:

Correct Answer: C

Rationale: Naltrexone, used for opioid or alcohol dependence, can interact with cold medicines containing dextromethorphan, which may have opioid-like effects, reducing naltrexone’s efficacy. Acetaminophen, ibuprofen, and antihistamines do not have significant interactions.

Question 5 of 5

A client with a history of heart failure is admitted with complaints of edema. The nurse should give priority to:

Correct Answer: A

Rationale: Diuretics reduce edema in heart failure, improving fluid balance and symptoms.

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