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Dynamic Quizzes Study w/ Rationales (Hard) – High-Yield Nursing Practice Questions

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Comprehensive collection of dynamic quizzes with rationales, designed for nursing students seeking a challenging study experience. Covers a wide range of topics including Med-Surg, Pharmacology, Mental Health, and NCLEX-style questions. Each question includes detailed rationales to enhance understanding, reinforce key concepts, and improve clinical reasoning. Ideal for self-study, exam preparation, and high-yield review sessions for difficult nursing content.

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Dynamic quizzes study w_ rationales (hard) Dynamic quizzes study w_ rationales (hard)




A nurse is assessing a client who has panic disorder and has been taking paroxetine. Which of the following assessments
should the nurse identify as an adverse effect of the medication?

A. Peripheral edema
B. Chest congestion
C. Shuffling gait
D. Weight gain


D. Weight gain


A nurse at a long-term care facility hears an assistive personnel (AP) talking with an older adult client who has dementia
with periods of confusion. Which of the following statements should indicate that the AP requires further teaching?

A. "We will be serving breakfast in 10 min. I will stay here while you get ready."
B. "It's Monday morning. I know that your favorite television shows are on this evening."
C. "I see that you have a new photo on the wall. Can you tell me who that girl is?"
D. "It's almost time for your appointment. Let me do your hair for you and brush your teeth."


D. "It's almost time for your appointment. Let me do your hair for you and brush your teeth."




1 Dynamic quizzes study w_ rationales (hard).pdf

, Dynamic quizzes study w_ rationales (hard) Dynamic quizzes study w_ rationales (hard)



A nurse is assessing a client who is taking lithium to treat bipolar disorder and has a lithium level of 2.2 mEq/L. Which of
the following findings should the nurse expect?

A. Muscle weakness
B. Oliguria
C. Vomiting
D. Blurry vision


D. Blurry vision

rationale: Manifestations of lithium toxicity with levels between 2 and 2.5 mEq/L include blurry vision, ataxia, clonic
twitching, severe hypotension, and polyuria.

A. Muscle weakness and fine hand tremors are early manifestations of lithium toxicity. These manifestations are common
with lithium levels between 1.0 and 1.5 mEq/L.
B. Manifestations of lithium toxicity with levels above 2.5 mEq/L include seizures and oliguria. For levels above 3.5 mg/dL,
delirium, cardiovascular collapse, coma, and death can occur.
C. Nausea, vomiting, diarrhea, and lethargy are early manifestations of lithium toxicity. These manifestations are common
with lithium levels between 1.0 and 1.5 mEq/L.




2 Dynamic quizzes study w_ rationales (hard).pdf

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