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Koydo Nursing School Exams

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Try NCLEX Sample Questions

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Question 1Pharmacology

A client is prescribed metformin 500mg twice daily. Which lab value is most important to monitor before administration?

  • A. Serum potassium
  • B. Serum creatinine (Correct)
  • C. Blood glucose
  • D. Liver enzymes

Rationale: Metformin is contraindicated with renal impairment due to risk of lactic acidosis. Serum creatinine assesses kidney function.

Question 2Priority & Delegation

The nurse is caring for four clients. Which client should the nurse assess first?

  • A. Client with COPD reporting 7/10 dyspnea (Correct)
  • B. Client post-op day 2 with 99.1°F temperature
  • C. Client with diabetes asking about meal choices
  • D. Client requesting PRN pain medication for 4/10 pain

Rationale: Dyspnea in a COPD client represents an airway/breathing priority using ABC and Maslow's hierarchy.

Question 3Safe and Effective Care Environment

Which action by the nurse best demonstrates respect for client autonomy?

  • A. Explaining treatment options and documenting informed consent (Correct)
  • B. Contacting the physician when the client refuses medication
  • C. Reassuring the client that the treatment is necessary
  • D. Involving the family in all care decisions

Rationale: Autonomy means respecting the client's right to make informed decisions about their care.

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