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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

The initial assessment of a newborn reveals a chest circumference of 34 cm and an abdominal circumference of 31 cm. The chest is asymmetrical and breath sounds are diminished on the left side. The nurse should give priority to:

Correct Answer: A

Rationale: Diminished breath sounds and chest asymmetry suggest a respiratory issue, such as pneumothorax, requiring immediate supplemental oxygen.

Question 2 of 5

The nurse is caring for an 11-year-old patient being treated for a fractured right femur with balanced suspension traction with a Thomas splint and Pearson attachment. The nurse notes that the patient’s left leg is externally rotated. The nurse should

Correct Answer: A

Rationale: holds hip in neutral position and leg in normal alignment, entire weight of leg cannot be held by props placed below knee

Question 3 of 5

A client has orders for placing a small-bore nasoenteric tube. Which finding in the health history would prompt the nurse to notify the prescriber before placing tube?

Correct Answer: B

Rationale: A basilar skull fracture is a contraindication for nasoenteric tube placement due to the risk of intracranial insertion. Other conditions are not absolute contraindications.

Question 4 of 5

The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

Correct Answer: C

Rationale: Novolog insulin peaks around 1-3 hours after administration, so a snack around 3 PM aligns with the peak to prevent hypoglycemia.

Question 5 of 5

Which action is contraindicated in the client with epiglottis?

Correct Answer: B

Rationale: Using a tongue blade can trigger airway obstruction in epiglottitis, making it contraindicated.

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