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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

A client's lab results have just come in. The nurse reviews the electrolytes and contacts the health care provider regarding which result?

Correct Answer: A

Rationale: Chloride 167 mEq/L is severely elevated (normal 98-106 mEq/L), requiring immediate attention. Other values are normal.

Question 2 of 5

The nurse is teaching a client with limited mobility about preventing blood clots. Which statement by the nurse is correct?

Correct Answer: A

Rationale: Crossing legs can impede venous return, increasing clot risk, so avoiding this is correct. Long car rides are a risk but not limited to two hours, and pillows under knees can worsen circulation.

Question 3 of 5

The nurse is supervising the staff providing care for an 18-month-old hospitalized with hepatitis A. The nurse determines that the staff’s care is appropriate if which of the following is observed?

Correct Answer: A

Rationale: contact precautions required for diapered or incontinent clients

Question 4 of 5

The physician has ordered a culture for the client with suspected gonorrhea. The nurse should obtain a culture of:

Correct Answer: D

Rationale: Gonorrhea is diagnosed by culturing genital secretions.

Question 5 of 5

A client is admitted with a blood alcohol level of 180 mg/dL. The nurse recognizes that the alcohol in the client's system should be fully metabolized within:

Correct Answer: D

Rationale: A blood alcohol level of 180 mg/dL (0.18%) typically takes about 9 hours to metabolize, assuming a metabolism rate of 0.02% per hour.

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