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Questions 164

NCLEX-PN

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Question 1 of 5

A client is admitted with a distended bladder due to the inability to void. The nurse obtains an order to catheterize the client, and is aware that gradual emptying is preferred over complete emptying because it reduces the

Correct Answer: B

Rationale: Potential for shock. Complete, rapid emptying can cause shock and hypotension due to sudden changes in the abdominal cavity.

Question 2 of 5

The nurse is performing tracheal suctioning and notes a previously used bottle of saline at the client's bedside. The nurse should:

Correct Answer: B

Rationale: A new, sterile saline bottle is required for suctioning to prevent infection. Reusing or relabeling an opened bottle is unsafe.

Question 3 of 5

The nurse at an orthopedic joint clinic is assisting with the preparation of pre-operative teaching for clients scheduled for total hip replacement surgery. Which would be included in the teaching plan?

Correct Answer: C

Rationale: The client with joint hip replacement should avoid adduction of the legs and flexion of the hips greater than 90 degrees to ensure continued placement of the prosthetic joint. It is recommended for these clients to use recliners for seating instead of straight chairs, therefore A is incorrect. Commode seats will have to be raised and abduction of the legs is required, making B and D incorrect choices.

Question 4 of 5

The doctor has ordered 1 mg of Stadol (butorphanol) to be given IM. The medication is available in 4 mg per mL. The nurse should administer:

Correct Answer: B

Rationale: Calculate: 1 mg ÷ 4 mg/mL = 0.25 mL. This ensures the correct dose of Stadol is administered.

Question 5 of 5

The nurse is teaching the parent of a 6-year-old client about sleep. Which of the following information should the nurse include? Select all that apply.

Correct Answer: A,D,E

Rationale: Children aged 6 need 9-11 hours of sleep, limited liquids prevent bedwetting, and routines promote sleep. Sleep needs decrease with age, and active play close to bedtime may disrupt sleep.

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