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NCLEX RN Practice Questions

Question 1 of 5

Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous pyelogram?

Correct Answer: B

Rationale: Asking about shellfish allergies is critical, as iodine-based contrast used in IVP can cause severe allergic reactions in those with shellfish or iodine allergies.

Question 2 of 5

A client with Addison's disease has been admitted with a history of nausea and vomiting for the past 3 days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?

Correct Answer: C

Rationale: Addison's disease causes sodium loss and potassium retention, so monitoring sodium and potassium levels is essential during glucocorticoid therapy.

Question 3 of 5

A client diagnosed with gout 10 years ago admits she has never treated her gout and hoped it would just go away. The nurse knows all of the following are potential complications from untreated gout EXCEPT

Correct Answer: D

Rationale: Untreated gout can lead to kidney stones, tophi (uric acid nodules), and joint deformities due to chronic urate deposition. Peripheral neuropathy is not a typical complication.

Question 4 of 5

A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:

Correct Answer: B

Rationale: A history of streptococcal infections may increase the risk of allergic reactions to streptokinase, a thrombolytic derived from streptococci.

Question 5 of 5

Which client should be assigned to the nursing assistant?

Correct Answer: C

Rationale: The elderly client with a thyroidectomy 4 days ago is stable and suitable for routine care by a nursing assistant.

Similar Questions

A client returns from surgery with a total knee replacement. Which of the following findings requires immediate nursing intervention?
The hospital conducts an information and education session on anthrax. The nurse learns the methods of anthrax transmission include which of the following? Select all that apply.
A 4-year-old is admitted with acute leukemia. It will be most important to monitor the child for:
A client is scheduled for a hypophysectomy following the discovery of a pituitary gland tumor. The nurse is teaching the client about the procedure. Which statement by the client indicates effective learning? Select all that apply.
A client has had a central catheter inserted for administration of parenteral nutrition. An X-ray was taken to ensure correct positioning prior to commencing infusions. The X-ray report indicates that the catheter tip is in the right atrium. Which of the following actions by the nurse is correct?

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