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Questions 163

NCLEX-PN

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Extract:


Question 1 of 5

The client is receiving a gentamicin IV. Which finding may indicate an adverse response to gentamicin?

Correct Answer: A

Rationale: Gentamicin is nephrotoxic; decreased urine output suggests kidney injury, a serious adverse effect. Other symptoms are not typically associated.

Extract:

Laboratory Reference Range
Glucose (fasting)
70-110 mg/dL
(3.9-6.1 mmol/L)


Question 2 of 5

The nurse has received information from unlicensed assistive personnel about assigned client situations. Which of the following situations should the nurse address first?

Correct Answer: D

Rationale: A full sharps container poses an immediate safety hazard and must be addressed first. Normal glucose , a discarded void , and procedure clarification are less urgent.

Extract:


Question 3 of 5

The nurse is reinforcing instructions related to antibiotic eye drop administration to the parent of a 5-year-old with bacterial conjunctivitis. Which instruction is most important?

Correct Answer: D

Rationale: Hand washing before and after eye drop administration is most important to prevent infection spread in bacterial conjunctivitis. Discarding tissues , lying down , and using compresses are supportive but secondary to infection control.

Question 4 of 5

The nurse reinforces discharge instructions to a client who was hospitalized for deep venous thrombosis that has now resolved. Which instructions should the nurse include to prevent reoccurrence? Select all that apply.

Correct Answer: B,C,D

Rationale:
To prevent DVT recurrence: stay hydrated to reduce blood viscosity, elevate legs and dorsiflex to promote venous return, and resume exercise to enhance circulation. Travel restrictions are not absolute post-resolution, and cross-legged sitting impedes venous flow.

Question 5 of 5

The practical nurse is assisting the registered nurse in creating a teaching plan for the parents of a child diagnosed with pediculosis capitis. Which instructions should be included in the teaching plan? Select all that apply.

Correct Answer: B,D,E

Rationale: For pediculosis capitis (head lice), soaking combs in boiling water , using a nit comb daily , and vacuuming furniture prevent reinfestation. Other children should be checked and treated if infested (A is incorrect), and pets do not require treatment as lice are human-specific.

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