NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

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 client with multiple sclerosis has an order to receive Solu Medrol 200 mg IV push. The available dose is Solu Medrol 250 mg per mL. How much medication will the nurse administer?

Correct Answer: B

Rationale: Dose: 200 mg ÷ 250 mg/mL = 0.8 mL, the amount to administer.

Question 3 of 5

The nurse is caring for a client with myasthenia gravis who is having trouble breathing. The nurse would encourage which of the following positions for maximal lung expansion?

Correct Answer: D

Rationale: Sitting or high Fowler's position maximizes lung expansion and diaphragmatic movement, critical for myasthenia gravis patients with respiratory weakness.

Question 4 of 5

The nurse is performing discharge teaching for a client after a cardiac catheterization. Which statement by the client indicates a need for further teaching?

Correct Answer: B

Rationale: Applying an ice bag for bleeding is incorrect; direct pressure should be applied, and the physician notified. This statement indicates a need for further teaching.

Question 5 of 5

The nurse is discussing meal planning with the mother of a 2-year-old. Which of the following statements, if made by the mother, would require a need for further instruction?

Correct Answer: C

Rationale: Hot dogs pose a choking hazard for a 2-year-old due to their size and texture, requiring further instruction.

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