Questions 151

NCLEX-RN

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Question 1 of 5

A client with a history of peptic ulcer disease is admitted with hematemesis. The nurse should prioritize which of the following interventions?

Correct Answer: A

Rationale: Intravenous pantoprazole reduces acid production and stabilizes bleeding in peptic ulcer disease.

Question 2 of 5

An expected physiologic response to a low potassium level is:

Correct Answer: A

Rationale: Hypokalemia can cause cardiac dysrhythmias due to its effect on cardiac muscle excitability, making it the most significant physiologic response.

Question 3 of 5

Select the basic sterile asepsis procedures that are accurate. Select all that apply:

Correct Answer: A,C,E

Rationale: Sterile items only on the sterile field , coughing/sneezing contaminating the field , and moisture contaminating the field are accurate sterile asepsis principles. The sterile field must be above waist level (B is incorrect), a 1-inch border is standard (D is incorrect), and masks are not required for clients (F is incorrect).

Question 4 of 5

The nurse is administering eyedrops to a client with glaucoma. Which of the following is a correct technique for instilling the eyedrops? The eyedrops are placed:

Correct Answer: A

Rationale: Placing eyedrops in the lower conjunctival sac ensures proper absorption and minimizes irritation or injury to the cornea or sclera.

Question 5 of 5

A client with a diagnosis of major depressive disorder is prescribed fluoxetine (Prozac). The nurse should instruct the client that it may take how long to notice the full therapeutic effect?

Correct Answer: C

Rationale: Fluoxetine, an SSRI, typically takes 3-4 weeks to achieve its full therapeutic effect in treating depression.

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