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

Questions 149

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Extract:


Question 1 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.

Question 2 of 5

A 92-year-old male client with Alzheimer's frequently experiences urinary incontinence. Which intervention should the nurse do first?

Correct Answer: D

Rationale: Offering the urinal every 2 hours promotes continence and dignity, addressing incontinence non-invasively before considering catheters or diapers.

Question 3 of 5

A woman has been recently diagnosed with systemic lupus and shares with the nurse, 'I am thinking about getting pregnant, but I don't know how I will be able to tolerate a pregnancy since I have lupus.' Which of the following responses by the nurse is BEST?

Correct Answer: B

Rationale: should be in remission for at least 5 months prior to conceiving

Question 4 of 5

A client with congestive heart failure has been receiving digoxia (Laxoxin). Which finding indicates that the medication is having a desired effect?

Correct Answer: A

Rationale: Digoxin improves cardiac output in congestive heart failure, leading to increased urinary output due to enhanced renal perfusion.

Question 5 of 5

The physician orders 1.25 L of normal saline (NS) to infuse over 10 hours. The nurse should set the IV pump at what flow rate (mL/hr)?

Correct Answer: B

Rationale: Flow rate = volume ÷ time. 1.25 L = 1,250 mL. 1,250 ÷ 10 = 125 mL/hr.

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