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

Which of the following is considered an internal disaster?

Correct Answer: A

Rationale: An internal disaster is an event within the healthcare facility, such as a tornado directly affecting it, requiring internal emergency protocols.

Question 3 of 5

A nurse is teaching a client about crutch walking. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: Crutches should be placed 6–10 inches to the side and front for stability. Weight is borne on hands, elbows are flexed, and the unaffected leg steps first.

Question 4 of 5

An adult client has been admitted to the hospital with a 3-day history of uncontrolled vomiting and diarrhea. Which should the nurse assess for in this client? Select all that apply.

Correct Answer: D,E

Rationale: The client described in the question will most likely be dehydrated because of uncontrolled vomiting and diarrhea. The nurse assesses this client for weight loss, lethargy, or headache; sunken eyes; poor skin turgor (such as tenting); flat neck and peripheral veins; tachycardia; and low blood pressure.

Question 5 of 5

A client with a history of stroke is prescribed clopidogrel (Plavix). The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Clopidogrel, an antiplatelet, increases bleeding risk, requiring monitoring.

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