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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

A client has orders for ampicillin 350 mg IM daily. The directions state to reconstitute with 3.5 mL of sterile water for a concentration of 500 mg/mL. How much will the nurse give?

Correct Answer: 0.7 mL

Rationale: Concentration: 500 mg/mL. Dose: 350 mg. Volume = 350 mg ÷ 500 mg/mL = 0.7 mL.

Question 2 of 5

The physician is preparing to remove a central line. The nurse should tell the client to:

Correct Answer: C

Rationale: Holding the breath during central line removal prevents air from being drawn into the vein, reducing the risk of air embolus.

Question 3 of 5

The nurse asked the client if he has an advance directive. The reason for asking the client this question is:

Correct Answer: B

Rationale: An advance directive clarifies the client's wishes, reducing family confusion during critical medical decisions.

Question 4 of 5

A tornado warning has been issued in the area surrounding the hospital. Which action by the nurse is most appropriate to ensure client safety?

Correct Answer: B

Rationale: Moving clients to the hallway, closing blinds, and shutting doors minimizes risks from flying debris and broken windows during a tornado.

Question 5 of 5

A client admitted for treatment of bacterial pneumonia has an order for intravenous ampicillin. Which specimen should be obtained prior to administering the medication?

Correct Answer: D

Rationale: A sputum culture and sensitivity should be obtained before starting antibiotics to identify the causative organism and ensure appropriate treatment.

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