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Questions 149

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Question 1 of 5

The nurse has inserted an NG tube for enteral feedings. Which assessment result is the best indicator of the tube's stomach placement?

Correct Answer: B

Rationale: A green aspirate with a pH of 3 confirms gastric placement, as stomach contents are acidic and often green due to bile, providing the most reliable indicator.

Question 2 of 5

The nurse is caring for a client following a crushing injury to the chest. Which finding would be most indicative of a tension pneumothorax?

Correct Answer: B

Rationale: Tension pneumothorax causes a mediastinal shift, including tracheal deviation toward the unaffected side due to increased intrathoracic pressure.

Question 3 of 5

Twenty micrograms (g) are equal to how many milligrams? Record your answer using a decimal number.

Correct Answer: 0.02

Rationale: 1 mg = 1,000 g, so 20 /1,000 = 0.02 mg.

Question 4 of 5

The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include:

Correct Answer: B

Rationale: Tacrine (Cognex) is associated with hepatotoxicity, and jaundice is a sign of liver dysfunction that should be monitored.

Question 5 of 5

A pregnant client is keeping a 'kick count' log during the last trimester. Which of the following may indicate fetal distress?

Correct Answer: C

Rationale: Fewer than 10 movements in 2 hours (
C) suggests fetal distress, as normal is >10 movements in 2 hours. Other options (A, B,
D) set incorrect thresholds.

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