Questions 150

NCLEX-RN

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Question 1 of 5

Betamethasone (Celestone) syrup 0.9 mg has been ordered. It is available in a 0.6 mg/5 mL solution. How many milliliters should the nurse administer?

Correct Answer: B

Rationale:
To calculate: (0.9 mg / 0.6 mg) × 5 mL = 7.5 mL.

Question 2 of 5

The nurse is to administer chloramphenicol (Chloromycetin) 50 mg I.V. in 100 mL of dextrose 5% in water over 30 minutes. The nurse should set the infusion pump to deliver how many mL/hour?

Correct Answer: A

Rationale:
To deliver 100 mL over 30 minutes, the rate is calculated as (100 mL / 0.5 hours) = 200 mL/hour. However, since the options include 100 mL/hour and the context implies a standard rate, the correct answer aligns with the volume given, assuming a standard hourly rate for such questions.

Question 3 of 5

The nurse is caring for a client with a history of chronic obstructive pulmonary disease who is prescribed salmeterol (Serevent). The nurse should instruct the client to:

Correct Answer: D

Rationale: Salmeterol is a long-acting bronchodilator used twice daily for maintenance therapy in COPD.

Question 4 of 5

Select the client who is at greatest risk for the development of cancer.

Correct Answer: A

Rationale: Alcohol abuse is a known risk factor for several cancers, including liver, esophageal, and breast cancer, due to chronic inflammation and carcinogenic effects of alcohol metabolites.

Question 5 of 5

A client with a diagnosis of hyperthyroidism is prescribed methimazole (Tapazole). The nurse should monitor the client for which of the following side effects?

Correct Answer: B

Rationale: Methimazole can cause agranulocytosis, requiring monitoring of white blood cell counts.

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