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Questions 227

NCLEX-PN

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Extract:

The child with a diagnosis of laryngotracheobronchtis


Question 1 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 2 of 5

The nurse is monitoring a client's EKG strip and notes coupled premature ventricular contractions greater than 10 per minute. The nurse should expect to administer which of the following?

Correct Answer: D

Rationale: Lidocaine is the drug of choice for frequent (>6–10/min) or coupled premature ventricular contractions (PVCs), as it suppresses ventricular arrhythmias and prevents ventricular tachycardia. Atropine (
A) treats bradycardia, isoproterenol (
B) is used for heart block, and verapamil (
C) is a calcium-channel blocker for supraventricular arrhythmias.

Question 3 of 5

The nurse is assessing a child admitted who has a fractured humerus. The family says the child fell. Which piece of information would cause the nurse to suspect child abuse?

Correct Answer: C

Rationale: Small round burns suggest cigarette burns, a specific sign of abuse. Frequent ER visits or bruising are concerning but less definitive; hand-holding is normal.

Extract:

A Registered Nurse is working in a medical unit. Due to an exceptionally busy morning, the nursing supervisor has decided to send an LPN to help out.


Question 4 of 5

As a team leader, which of the following patients will be assigned to the LPN?

Correct Answer: C

Rationale: The patient with a fractured tibia on Buck's traction is the most stable and has predictable care needs, suitable for assignment to an LPN.

Extract:


Question 5 of 5

A client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should the nurse assess first?

Correct Answer: D

Rationale: The nurse should assess the client's cardiac rhythm using electrocardiography because an elevated serum potassium level may lead to a life-threatening cardiac arrhythmia. The client's blood pressure may change, but only as a result of the arrhythmia.
Therefore, the nurse should assess blood pressure later. The nurse also can delay assessing respirations and temperature because these aren't affected by the serum potassium level.

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