Questions 150

NCLEX-RN

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Question 1 of 5

The nurse is assessing a newborn 24 hours after birth. Which finding requires immediate reporting?

Correct Answer: D

Rationale: Yellowing of the skin within 24 hours suggests pathological jaundice, requiring immediate evaluation to prevent complications like kernicterus.

Question 2 of 5

The primary distinguishing characteristic of risk management when compared and contrasted to performance improvement is that risk management activities focus on:

Correct Answer: C

Rationale: Risk management focuses on decreasing financial liability by mitigating risks, while performance improvement focuses on enhancing processes and outcomes.

Question 3 of 5

A client with asthma has been prescribed beclomethasone (Beclovent) via metered-dose inhaler. To determine if the client has been rinsing the mouth after each use of the inhaler, the nurse should inspect the client's mouth for:

Correct Answer: B

Rationale: Beclomethasone, an inhaled corticosteroid, can cause oral candidiasis (thrush) if the mouth is not rinsed after use, as residual medication promotes fungal growth.

Question 4 of 5

Which of the following is not considered one of the 'Ten Rights of Medication Administration'?

Correct Answer: A

Rationale: The Ten Rights of Medication Administration include right patient, drug, dose, route, time, documentation, reason, response, refusal, and education. 'Right verification' is not a standard right.

Question 5 of 5

A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with an exacerbation. The nurse should administer which of the following as prescribed?

Correct Answer: A, B

Rationale: Low-flow oxygen (2 L/min) and albuterol relieve hypoxemia and bronchospasm in COPD exacerbation.

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