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

Questions 149

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Extract:


Question 1 of 5

The nurse cares for two children brought into an emergency shelter. Law enforcement suspects the children have been neglected. The nurse should assess

Correct Answer: C

Rationale: Height and weight assess for failure to thrive, a key indicator of neglect. Bruises on knees/elbows are common in children and less specific.

Question 2 of 5

A hospice client is to receive 4 mg of morphine sulfate (MS) subcutaneously from a vial that contains 10 mg/mL. How many milliliters of MS should the patient receive to equal a dose of 4 mg? Record your answer using one decimal place.

Correct Answer: 0.4

Rationale: Dose = 4 mg, concentration = 10 mg/mL. Volume = 4 m/10 mg/mL = 0.4 mL.

Question 3 of 5

What airborne precautions should the nurse anticipate when a client with measles is admitted to the hospital? Select all that apply.

Correct Answer: C,D

Rationale: Measles requires airborne precautions, including a negative pressure room (
C) and an N-95 respirator (
D). Surgical masks (
A) are insufficient, and dedicated entrances (E) are not standard. Client masking during transport (
B) is recommended but not always mandatory.

Question 4 of 5

The client is taking rifampin 600 mg po daily to treat his tuberculosis. Which action by the nurse indicates understanding of the medication?

Correct Answer: B

Rationale: Rifampin causes orange-red discoloration of urine, a normal side effect the nurse should explain.

Question 5 of 5

The nurse is teaching safe client handling techniques to a group of student nurses. Which action by a student nurse would require intervention?

Correct Answer: C

Rationale: Placing the bed supine is unsafe for moving a client up, as slight elevation (e.g., Trendelenburg) aids safety. Other actions are correct.

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