NCLEX Questions, NCLEX RN Practice Questions, NCLEX-RN Questions, Nurselytic

Questions 148

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Extract:


Question 1 of 5

The mother of a 1-year-old wants to know when she should begin toilettraining her child. The nurse's response is based on the knowledge that sufficient sphincter control for toilet training is present by:

Correct Answer: B

Rationale: Sufficient sphincter control for toilet training typically develops between 18-24 months, when children gain the physical and cognitive readiness for training.

Question 2 of 5

The nurse is monitoring the labs of a client admitted with viral hepatitis. Which of the following lab findings would the nurse expect for this client? Select all that apply.

Correct Answer: B, C, D

Rationale: Viral hepatitis typically causes increased AST, elevated ammonia, and low serum albumin due to liver damage, while ALT is usually increased, not decreased, and prothrombin time is prolonged.

Question 3 of 5

The nurse is caring for a client who is receiving chemotherapy for leukemia. The client’s latest laboratory results show a white blood cell count of 2,000/mm³. Which of the following nursing actions is the HIGHEST priority?

Correct Answer: C

Rationale: a white blood cell count of 2,000/mm³ indicates neutropenia, and initiating neutropenic precautions is the priority to prevent infection

Question 4 of 5

A client is prescribed 0.25 mg terbutaline subcutaneously, but the medication is provided as 1 mg/mL. How much medication is needed to provide the correct dosage? Record your answer using a decimal to two places.

Correct Answer: 0.25

Rationale: Dose required = 0.25 mg. Concentration is 1 mg/mL, so volume = 0.25 m/1 mg/mL = 0.25 mL.

Question 5 of 5

A client admitted for treatment of bacterial pneumonia has an order for intravenous ampicillin. Which specimen should be obtained prior to administering the medication?

Correct Answer: D

Rationale: A sputum culture and sensitivity should be obtained before starting antibiotics to identify the causative organism and ensure appropriate treatment.

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