NCLEX Questions, NCLEX RN Practice Tests Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Extract:


Question 1 of 5

A client with osteomylitis has an order for a trough level to be done because he is taking Gentamycin. When should the nurse call the lab to obtain the trough level?

Correct Answer: B

Rationale: Trough levels measure the lowest drug concentration and are drawn just before a dose after steady-state, typically around the fourth dose for Gentamicin.

Question 2 of 5

The nurse is caring for a client with B-Thalassemia major. Which therapy is used to treat Thalassemia?

Correct Answer: B

Rationale: Frequent transfusions manage severe anemia in B-Thalassemia major.

Question 3 of 5

A non-immune nurse should not be assigned a client who has which of the vaccine-preventable airborne diseases? Select all that apply.

Correct Answer: A,C

Rationale: Tuberculosis and smallpox are airborne, vaccine-preventable diseases posing risks to non-immune nurses. Influenza and pertussis are primarily droplet-transmitted.

Question 4 of 5

A client with rheumatoid arthritis tells the nurse that she is having increasing difficulty cooking, cleaning, and attending to activities of daily living. Which of the following referrals is the most appropriate?

Correct Answer: A

Rationale: An occupational therapist (
A) helps clients with rheumatoid arthritis adapt to difficulties with daily activities through adaptive techniques and equipment. Physical therapy (
B), home health (
C), or assisted living (
D) may be secondary.

Question 5 of 5

The nurse must administer in one syringe a combined dose of two different insulins from two vials. Place the steps (Roman numerals) in the correct order.

Order the Items

Source Container

Cleanse tops of vials.
Inject air into vial 1.
Withdraw medication from vial 1.
Change needles.
Withdraw medication from vial 2.
Inject air into vial 2.

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

Rationale: The correct order is: Cleanse vials (I), inject air into vial 1 (II), inject air into vial 2 (VI), withdraw from vial 1 (III), withdraw from vial 2 (V). Changing needles (IV) is not standard.

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