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Question 1 of 5

A new graduate nurse is assigned to a 30-year-old female requiring NG tube feeding. The preceptor reminds the graduate nurse to check placement of the NG tube before administering the feeding. The best way to do this is by

Correct Answer: B

Rationale: Aspirating gastric contents and checking pH (≤5.5 indicates gastric placement) is the most reliable bedside method to confirm NG tube placement.

Question 2 of 5

A 60-year-old diabetic is taking glyburide (Diabeta) 1.25 mg daily to treat Type II diabetes mellitus. Which statement indicates the need for further teaching?

Correct Answer: C

Rationale: Skipping meals while on glyburide increases hypoglycemia risk, indicating a need for further teaching.

Question 3 of 5

An elderly female is admitted with a fractured right femoral neck. Which clinical manifestation would the nurse expect to find?

Correct Answer: D

Rationale: A femoral neck fracture typically causes shortening of the affected leg due to muscle contraction pulling the bone fragments together, along with external rotation and limited movement.

Question 4 of 5

The nurse is providing discharge teaching for a client taking dissulfiram (Antabuse). The nurse should instruct the client to avoid eating:

Correct Answer: C

Rationale: Vinaigrette may contain alcohol, which reacts with disulfiram, causing severe symptoms.

Question 5 of 5

Which of the following are true statements regarding peripherally inserted central catheter (PICC) lines? Select all that apply.

Correct Answer: A,C,E

Rationale: PICC lines require sterile technique, have a lower infection risk than other central lines, and can be inserted at the bedside. Only specially trained RNs (not any LPN/RN) can insert them, and pneumothorax risk is minimal.

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