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Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

The client with a pacemaker should be taught to:

Correct Answer: D

Rationale: Monitoring pulse rate ensures the pacemaker is functioning correctly and detects arrhythmias.

Question 2 of 5

When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:

Correct Answer: C

Rationale: Elevating the hips relieves pressure on the prolapsed cord, maintaining fetal oxygenation.

Question 3 of 5

A 32-year-old male client has just undergone a liver biopsy and is released to the post-op floor for observation. The nurse should have the client lie in what position?

Correct Answer: B

Rationale: Lying on the right side applies pressure to the liver biopsy site, reducing bleeding risk.

Question 4 of 5

The physician has ordered a homocysteine blood level on a client. The nurse recognizes that the results will be increased in a client with a deficiency in:

Correct Answer: A

Rationale: Homocysteine levels rise with vitamin B12 deficiency, as B12 is needed for homocysteine metabolism, unlike other vitamins listed.

Question 5 of 5

The nurse in the ER has received report of four clients en route to the emergency department. Which client should the nurse see first? A client with:

Correct Answer: A

Rationale: Third-degree burns to the face and neck with singed nasal hairs suggest airway burns, a life-threatening condition requiring immediate airway assessment and management.

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