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Questions 227

NCLEX-PN

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Extract:

Congenital hip dysplasia is suspected when the assessment data indicates which of the following in the newborn?


Question 1 of 5

Presence of Ortalani's click

Correct Answer: A

Rationale: The presence of Ortalani's click when legs are abducted and asymmetry of gluteal folds are signs of congenital hip dysplasia.

Extract:

The child with a diagnosis of laryngotracheobronchtis


Question 2 of 5

The child with a diagnosis of laryngotracheobronchtis should be observed for:

Correct Answer: B

Rationale: Laryngotracheobronchitis (croup) is characterized by inspiratory stridor and potential lethargy due to airway obstruction.

Extract:


Question 3 of 5

How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?

Correct Answer: A

Rationale: Due to the high risk of bacterial growth in nutrient-rich TPN solutions, IV tubing should be changed every 24 hours. Health Promotion and Maintenance

Question 4 of 5

The nurse is preparing to administer a medication via a nasogastric tube. Which of the following actions should the nurse perform FIRST?

Correct Answer: B

Rationale: Checking NG tube placement (e.g., via pH testing of aspirate) ensures the medication is delivered to the stomach, preventing aspiration. Crushing medication (
A) and flushing (
C) follow placement confirmation, and supine positioning (
D) increases aspiration risk.

Extract:

The nurse anticipates that one of the following medications will be given to the patient with hypothyroidism:


Question 5 of 5

IV calcium

Correct Answer: D

Rationale: Synthroid (levothyroxine) replaces thyroid hormone in hypothyroidism.

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