Questions 151

NCLEX-RN

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Question 1 of 5

A client with a history of type 1 diabetes mellitus is prescribed insulin detemir (Levemir). The nurse should explain that this insulin:

Correct Answer: B

Rationale: Insulin detemir provides a steady basal insulin level over 24 hours, used for long-term glucose control.

Question 2 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 3 of 5

A client with a diagnosis of Cushing's syndrome is prescribed ketoconazole. The nurse should monitor the client for which of the following side effects?

Correct Answer: B

Rationale: Ketoconazole can cause liver toxicity, requiring regular monitoring of liver function tests.

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 complains of a dull headache and dizziness and has an increased pulse rate. The results of arterial blood gas analysis are as follows: pH 7.26; partial pressure of carbon dioxide,50 mm Hg; and bicarbonate, 24 mEq/L. These findings indicate which of the following acid-base imbalances?

Correct Answer: B

Rationale: A pH of 7.26 (acidic) with elevated CO2 (50 mm Hg) and normal bicarbonate (24 mEq/L) indicates respiratory acidosis, likely due to hypoventilation. Other imbalances do not match these values.

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