NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Question 1 of 5

A client with an artificial eye is too ill to remove the eye, but the lids are crusted and irritated, so the nurse must remove the prosthesis for cleaning and to inspect the eye socket. The nurse has washed hands and applied disposable gloves. Place the remaining steps to removing the prosthesis (Roman numerals) in the correct order.

Correct Answer: A,D,B,C

Rationale: Prosthesis removal: Retract upper lid (I), retract lower lid (IV), slip finger under prosthesis (II), break suction and remove (III).

Question 2 of 5

A client with multiple sclerosis has an order to receive Solu Medrol 200 mg IV push. The available dose is Solu Medrol 250 mg per mL. How much medication will the nurse administer?

Correct Answer: B

Rationale: Dose: 200 mg ÷ 250 mg/mL = 0.8 mL, the amount to administer.

Question 3 of 5

A 2-month-old boy with a temperature of 102°F (39°C) is brought to the emergency department by his mother. The mother tells the nurse that her son had a DPT injection one week ago, and asks if this fever is related to the immunization. The nurse’s response should be based on the knowledge that

Correct Answer: C

Rationale: low-grade fever and irritability frequent response to immunization

Question 4 of 5

The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept available during the test?

Correct Answer: A

Rationale: Atropine reverses cholinergic effects during a Tensilon test.

Question 5 of 5

A school nurse is suspicious that a child is being physically abused at home. The nurse's responsibility is to

Correct Answer: D

Rationale: Nurses are mandated reporters and must report suspected child abuse to local authorities for investigation, prioritizing child safety.

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