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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

A client with chronic kidney disease (CKD) is being evaluated by the transplant team. The client's glomerular filtration rate (GFR) is 14 mL/min. This places the client in which stage of CKD?

Correct Answer: B

Rationale: GFR <15 mL/min indicates stage 5 CKD (end-stage renal disease), often requiring dialysis or transplant.

Question 2 of 5

A student nurse is assigned to change a patient's dressing. The soiled bandage is saturated with bright red blood. How should the student nurse dispose of the bandage?

Correct Answer: B

Rationale: Blood-saturated bandages are biohazardous and must be disposed of in a labeled biohazard bag to prevent infection transmission.

Question 3 of 5

A client is complaining of chest pain. Nursing assessment reveals a BP of 78/40, shortness of breath, and third-degree AV block on the heart monitor. What medication would the nurse prepare for initial administration?

Correct Answer: A

Rationale: Third-degree AV block with hypotension (BP 78/40) requires atropine to increase heart rate by blocking vagal activity, improving cardiac output.

Question 4 of 5

The physician has prescribed Cyclogel (cyclopentolate hydrochloride) drops for a client following a scleral buckling. The nurse knows that the purpose of the medication is to:

Correct Answer: A

Rationale: Cyclopentolate is a cycloplegic that paralyzes the ciliary muscle, resting the muscles of accommodation.

Question 5 of 5

The nurse enters a client's room and finds him lying on the floor. The client says to the nurse, 'I fell because I was trying to go to the bathroom and no one answered my call light.' Which of the following actions by the nurse are correct? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: All actions are appropriate: assist the client safely, assess for injuries, notify the provider, complete an incident report, and document the fall to ensure proper care and follow-up.

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