NCLEX Questions, NCLEX RN Practice Test Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Extract:


Question 1 of 5

A client is receiving gentamicin sulfate (Gentamicin) injections as part of her treatment regimen for a pseudomonas infection. The nurse knows to assess for what potential adverse reaction to this medication?

Correct Answer: D

Rationale: Gentamicin, an aminoglycoside, is associated with ototoxicity (hearing loss or balance issues) as a major adverse effect, requiring close monitoring.

Question 2 of 5

An infant's Apgar score is 9 at 5 minutes. The most likely cause for the deduction of one point is:

Correct Answer: C

Rationale: Blue hands and feet (acrocyanosis) are common in newborns and likely cause a 1-point deduction in the appearance category of the Apgar score.

Question 3 of 5

The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:

Correct Answer: B

Rationale: Suspected falsification of records warrants a formal reprimand and investigation, but immediate termination or legal action requires further evidence.

Question 4 of 5

The nurse is teaching safe client handling techniques to a group of student nurses. Which action by a student nurse would require intervention?

Correct Answer: C

Rationale: Placing the bed supine is unsafe for moving a client up, as slight elevation (e.g., Trendelenburg) aids safety. Other actions are correct.

Question 5 of 5

A client is receiving gentamicin sulfate (Gentamicin) injections as part of her treatment regimen for a pseudomonas infection. The nurse knows to assess for what potential adverse reaction to this medication?

Correct Answer: D

Rationale: Gentamicin, an aminoglycoside, is associated with ototoxicity (hearing loss or balance issues) as a major adverse effect, requiring close monitoring.

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