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Questions 148

NCLEX-RN

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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

The nurse is teaching circumcision care to the mother of a newborn. Which statement indicates that the mother needs further teaching?

Correct Answer: C

Rationale: Using a heat lamp is incorrect and could cause burns or delay healing; the other statements reflect appropriate circumcision care.

Question 3 of 5

The physician has ordered a culture for the client with suspected gonorrhea. The nurse should obtain a culture of:

Correct Answer: D

Rationale: Gonorrhea is diagnosed by culturing genital secretions.

Question 4 of 5

A client has a chest tube in place with a three-chamber chest drainage system. The nurse notes continuous bubbling in the water seal chamber. This indicates which of the following?

Correct Answer: C

Rationale: Continuous bubbling in the water seal chamber indicates a system air leak (
C), such as a loose connection or hole in the tubing. A pneumothorax (
A) may cause intermittent bubbling, adequate suction (
B) is indicated by bubbling in the suction chamber, and incorrect tube positioning (
D) would not typically cause continuous bubbling.

Question 5 of 5

The nurse is observing a student nurse administer a client's medications via a nasogastric (NG) tube. The nurse understands that the student nurse needs further teach if the student nurse performs which action?

Correct Answer: F

Rationale: All listed actions are correct for NG medication administration. No intervention is needed.

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