Questions 151

NCLEX-RN

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Question 1 of 5

The nurse is assessing a child admitted with a diagnosis of rheumatic fever. Which significant question should the nurse ask the child's parent during the assessment?

Correct Answer: C

Rationale: Rheumatic fever characteristically presents 2 to 6 weeks after an untreated or partially treated group A beta-hemolytic streptococcal infection of the respiratory tract. Initially the nurse determines whether any family member has had a sore throat or unexplained fever within the past few weeks. The remaining options are unrelated to the assessment findings of rheumatic fever.

Question 2 of 5

The nurse is caring for a client post-cataract surgery. Which instruction should the nurse include in discharge teaching?

Correct Answer: A

Rationale: Avoiding bending at the waist prevents increased intraocular pressure, which could complicate recovery post-cataract surgery.

Question 3 of 5

A client with a history of type 1 diabetes mellitus is prescribed insulin detemir (Levemir). The nurse should explain that this insulin:

Correct Answer: B

Rationale: Insulin detemir provides a steady basal insulin level over 24 hours, used for long-term glucose control.

Question 4 of 5

A client is scheduled for a creatinine clearance test. Which one of the following preparations is appropriate for the nurse to make?

Correct Answer: A

Rationale: A creatinine clearance test requires a 24-hour urine collection to assess kidney function accurately, making this the appropriate preparation.

Question 5 of 5

The nurse is working in a newborn nursery and caring for several neonates. Precautions that should be taken to prevent an infant abduction include which of the following?

Correct Answer: A,D

Rationale: Notifying security about suspicious individuals and responding to exit alarms are key to preventing abductions. Taking multiple neonates or placing them near doorways increases risk.

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