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Questions 148

NCLEX-RN

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Question 1 of 5

A client diagnosed with tuberculosis asks the nurse when he can return to work. The nurse should tell the client that:

Correct Answer: A

Rationale: Three negative sputum cultures indicate the client is no longer contagious, allowing safe return to work after tuberculosis treatment.

Question 2 of 5

A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?

Correct Answer: B

Rationale: Ampicillin, an antibiotic, is not indicated for chest pain, which is typically cardiac-related and treated with nitroglycerin, propranolol, or verapamil.

Question 3 of 5

The nurse has an order to give 500 mL of 0.45% NS over 12 hours. The IV set has a drop factor of 10. How many gtts/min should the client receive? Fill in the blank.

Correct Answer: 7

Rationale: Rate = 500 mL ÷ 12 hr = 41.67 mL/hr. Drops/min = (41.67 mL/hr × 10 gtts/mL) ÷ 60 min = 6.94 gtts/min, rounded to 7 gtts/min.

Question 4 of 5

The nurse is creating a discharge plan for a client with cholecystitis. The nurse should encourage the client to follow

Correct Answer: B

Rationale: A low-fat diet reduces gallbladder stimulation and prevents cholecystitis flare-ups. Potassium, B12, and phosphorus are not directly related to cholecystitis management.

Question 5 of 5

A client has a CVP monitor in place. Which would be included in the nursing care plan for this client?

Correct Answer: A

Rationale: CVP readings outside 3-8 cm of water may indicate fluid imbalance or catheter issues, requiring physician notification to prevent complications.

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