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Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

A client is diagnosed with emphysema and cor pulmonale. Which findings are characteristic of cor pulmonale?

Correct Answer: D

Rationale: Cor pulmonale, right heart failure from lung disease, causes edema of the lower extremities and distended neck veins due to increased venous pressure.

Question 2 of 5

A newborn is diagnosed with respiratory distress syndrome (RDS). Which position is best for maintaining an open airway?

Correct Answer: D

Rationale: Supine with slight neck extension helps maintain an open airway in newborns with RDS by reducing airway obstruction and aiding breathing.

Question 3 of 5

The nurse is evaluating the client's pulmonary artery pressure. The nurse is aware that this test evaluates:

Correct Answer: B

Rationale: A pulmonary artery catheter measures the systolic, diastolic, and mean pressures of the pulmonary artery.

Question 4 of 5

The doctor has ordered Ampicillin 100 mg every 6 hours IV push for an infant weighing 7 kg. The suggested dose for infants is 25-50 mg/kg/day in equally divided doses. The nurse should:

Correct Answer: D

Rationale: The ordered dose (400 mg/day) exceeds the safe range (175-350 mg/day for a 7 kg infant), requiring the nurse to verify the order with the doctor.

Question 5 of 5

The chart of a client hospitalized for a total hip repair reveals that the client is colonized with MRSA. The nurse understands that the client:

Correct Answer: A

Rationale: MRSA colonization means the bacteria are present without causing active infection, so the client is asymptomatic but requires contact precautions.

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