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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The major electrolytes in the extracellular fluid are:

Correct Answer: C

Rationale: Sodium and chloride are the major electrolytes in the extracellular fluid, maintaining fluid balance and nerve function. The other options include electrolytes more prevalent in intracellular fluid or less dominant in extracellular fluid. Physiological Adaptation

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 2 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 3 of 5

The nurse is caring for an adult who had a transsphenoidal hypophysectomy earlier today. The client is now on the surgical unit after an uneventful stay in the postanesthesia care unit. How should the nurse position the client?

Correct Answer: C

Rationale: Semi-reclining reduces intracranial pressure and prevents cerebrospinal fluid leakage post-transsphenoidal hypophysectomy. Supine increases leakage risk, and upright or side-lying are less optimal.

Question 4 of 5

The Doctor writes for a medication that is in oral suspension. The order reads to administer 50 mg by mouth every 4 hours as needed for pain. You're dispended with a bottle that reads 25 mg/2 mL. How many teaspoons per dose will you administer?

Correct Answer: C

Rationale: 50 mg ÷ 25 mg/2 mL = 4 mL. 4 mL ÷ 5 mL/tsp = 0.8 tsp. Other options are incorrect conversions.

Extract:

Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia.


Question 5 of 5

Incidence of Leukemia is higher in children. Pathophysiology of infection in Leukemia is due primarily to:

Correct Answer: C

Rationale: Elevated WBC with impaired function (neutropenia) predisposes to infections in leukemia.

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