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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

A throat culture is positive for Streptococcus. An antibiotic is prescribed. Which question is it essential for the nurse to ask the client before administering the medication?

Correct Answer: D

Rationale: Streptococcal infections are commonly treated with penicillin or related antibiotics. Asking about penicillin allergies is critical to prevent anaphylaxis. Sulfa, vitamins, or alcohol are less relevant.

Extract:

The client who's developing signs and symptoms indicate hyperglycemia?


Question 2 of 5

The client who's developing signs and symptoms indicate hyperglycemia?

Correct Answer: A

Rationale: Hyperglycemia causes polydipsia, polyuria, and weight loss due to osmotic diuresis.

Extract:


Question 3 of 5

Which of these principles should the nurse apply when performing a nutritional assessment on a 2 year-old client?

Correct Answer: C

Rationale: A serving size at this age is about 2 tablespoons. A general guide is 1 tablespoon of solid food per year of age.

Question 4 of 5

The nurse is teaching a client about erythema infectiosum. Which of the following factors are not correct?

Correct Answer: B

Rationale: Erythema infectiosum (Fifth disease) is common in adults, contrary to the statement. The other factors are correct: it typically presents with a 'slapped face' rash, no fever, and a characteristic rash. Safety and Infection Control

Question 5 of 5

A client received six units of regular insulin three hours ago. The nurse would be MOST concerned if which of the following was observed?

Correct Answer: C

Rationale: Regular insulin peaks in 2–4 hours, and the symptoms in choice C (diaphoresis and trembling) are classic signs of hypoglycemia, a potential complication at this time. Hypoglycemia requires immediate intervention, such as administering skim milk or glucose.
Choice A indicates hyperglycemia (Kussmaul respirations), and choices B and D are not specific to hypoglycemia.

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