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Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

A client diagnosed with hepatitis B asks the nurse how the virus is transmitted. Which of the following is the correct response?

Correct Answer: B

Rationale: Hepatitis B is transmitted via blood, sexual contact, needles, and perinatally from mother to newborn.

Question 2 of 5

A client who has glaucoma is to have miotic eyedrops instilled in both eyes. The nurse knows that the purpose of the medication is to:

Correct Answer: C

Rationale: Miotics constrict the pupils, increasing aqueous humor outflow to reduce intraocular pressure in glaucoma.

Question 3 of 5

The nurse assesses a new order for a blood transfusion. The order is to transfuse 1 unit of packed red blood cells (contains 250 mL) in a 2-hour period. What will be the hourly rate of infusion?

Correct Answer: C

Rationale:
To calculate the hourly rate: 250 mL ÷ 2 hours = 125 mL/hr, ensuring the transfusion is completed within the prescribed time.

Question 4 of 5

An elderly adult has been admitted with a diagnosis of hypertension with a history of dementia. Which of the following nursing diagnoses has the highest priority for this client?

Correct Answer: D

Rationale: Dementia increases fall and injury risk due to impaired judgment and memory, making 'risk for injury' the priority.

Question 5 of 5

The schizophrenic client has become disruptive and requires seclusion. Which staff member can institute seclusion?

Correct Answer: B

Rationale: An RN has the authority to initiate seclusion based on clinical judgment.

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