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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

Following mitral valve replacement surgery a client develops PVC's. The health care provider orders a bolus of Lidocaine followed by a continuous Lidocaine infusion at a rate of 2 mg/minute. Which finding indicates that the client is experiencing lidocaine toxicity?

Correct Answer: D

Rationale: No measurable voiding in 4 hours. The concern is possible hyperkalemia, which could occur with continued potassium administration and a decrease in urinary output since potassium is excreted via the kidneys.

Question 2 of 5

The physician prescribes meperidine (Demerol), 1.1 mg/kg I.M., for a 16-month-old child who has just had abdominal surgery. When administering this drug, the nurse should use a needle of which size?

Correct Answer: C

Rationale: For an infant, the nurse should use a needle with the smallest appropriate gauge for the medication to be given. For an I.M. injection of meperidine, a 25G to 22G needle is appropriate.

Extract:

Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia.


Question 3 of 5

Incidence of Leukemia is higher in children. Pathophysiology of infection in Leukemia is due primarily to:

Correct Answer: C

Rationale: Elevated WBC with impaired function (neutropenia) predisposes to infections in leukemia.

Extract:

A patient with complaints of loss of peripheral vision


Question 4 of 5

A patient with complaints of loss of peripheral vision is suspected to have

Correct Answer: C

Rationale: Glaucoma causes peripheral vision loss due to increased intraocular pressure.

Extract:


Question 5 of 5

The nurse in the outpatient clinic teaches the mother of a 10-year-old boy with asthma how to prevent future asthmatic attacks. The nurse would be MOST concerned if the mother made which of the following statements?

Correct Answer: B

Rationale: Raking leaves exposes the child to inhaled allergens (pollen, dust), a primary asthma trigger, increasing attack risk. Playing the tuba (
A), after-school activities (
C), and walking (
D) are generally safe unless exercise-induced asthma is present, which is not specified.

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