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Questions 148

NCLEX-RN

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Question 1 of 5

An adolescent client with cystic acne has a prescription for Accutane (isotretinoin). Which lab work is needed before beginning the medication?

Correct Answer: C

Rationale: A liver profile is required before starting isotretinoin due to its potential hepatotoxicity, ensuring safe administration.

Question 2 of 5

The nurse caring for a client in the neonatal intensive care unit administers adult-strength Digitalis to the 3-pound infant. As a result of her actions, the baby suffers permanent heart and brain damage. The nurse can be charged with:

Correct Answer: D

Rationale: Malpractice involves professional negligence causing harm, as in administering an incorrect dose of medication.

Question 3 of 5

Which of the following findings is associated with right-sided heart failure?

Correct Answer: B

Rationale: Nocturnal polyuria is a classic sign of right-sided heart failure due to fluid redistribution when lying down.

Question 4 of 5

A client recently diagnosed with atrial fibrillation is being discharged home on digoxin (Lanoxin). The nurse is providing education to the client and family. Which client statement indicates the need for further teaching?

Correct Answer: B

Rationale: Taking a missed digoxin dose as soon as remembered is incorrect; clients should skip it if it’s close to the next dose to avoid toxicity. Other statements reflect correct understanding.

Question 5 of 5

Lochia serosa usually is evident on days 4 to 10 postpartum. When teaching the client about postpartum care, how should the nurse describe lochia serosa?

Correct Answer: C

Rationale: Lochia serosa, days 4-10 postpartum, is pinkish to brownish (
C) due to decreased blood and increased serous fluid. Dark red (
A) is lochia rubra, yellowish (
B) or clear (
D) are not typical.

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