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Questions 149

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Extract:


Question 1 of 5

A 15-year-old client is rushed to the ER after taking an entire bottle of acetaminophen (Tylenol) in a suicide attempt. The nurse's priority is obtaining which lab results?

Correct Answer: A

Rationale: Acetaminophen overdose causes hepatotoxicity. AST and ALT levels assess liver damage, which is the priority.

Question 2 of 5

A 4-year-old with cystic fibrosis has a prescription for Viokase pancreatic enzymes to prevent malabsorption. The correct time to give pancreatic enzyme is:

Correct Answer: C

Rationale: Viokase should be given with each meal and snack to aid digestion and prevent malabsorption in cystic fibrosis.

Question 3 of 5

The physician orders 1.25 L of normal saline (NS) to infuse over 10 hours. The nurse should set the IV pump at what flow rate (mL/hr)?

Correct Answer: B

Rationale: Flow rate = volume ÷ time. 1.25 L = 1,250 mL. 1,250 ÷ 10 = 125 mL/hr.

Question 4 of 5

An RN is supervising a team of LPNs on the med-surg floor. All of the following tasks can be delegated to a competent LPN EXCEPT

Correct Answer: D

Rationale: Admissions assessments require RN judgment and are outside LPN scope. Sputum collection, catheterization, and inhaler administration are within LPN scope.

Question 5 of 5

The nurse is teaching a client with rheumatoid arthritis about joint protection techniques. Which of the following statements by the client indicates understanding of the teaching?

Correct Answer: B

Rationale: using large joints for tasks reduces stress on smaller joints, which is a key principle in joint protection

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