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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is aware that a common mode of transmission of clostridium difficile is:

Correct Answer: D

Rationale: C. difficile is transmitted via fecal-oral route through contaminated stool.

Question 2 of 5

A client has been hospitalized with a diagnosis of laryngeal cancer. Which factor is most significant in the development of laryngeal cancer?

Correct Answer: D

Rationale: Frequent alcohol and tobacco use is the most significant risk factor for laryngeal cancer due to chronic irritation and carcinogenic effects on laryngeal tissues.

Question 3 of 5

When planning the care for a client after a posterior fossa (infratentorial) craniotomy, which action is contraindicated?

Correct Answer: B

Rationale: Elevating the head of the bed can increase intracranial pressure in posterior fossa craniotomy clients due to disruption of cerebrospinal fluid flow, making it contraindicated.

Question 4 of 5

An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse's discharge teaching?

Correct Answer: A

Rationale: Avoiding straddling activities like rocking horses prevents strain on the surgical site post-hypospadias repair.

Question 5 of 5

The nurse has an order to give 500 mL of 0.45% NS over 12 hours. The IV set has a drop factor of 10. How many gtts/min should the client receive? Fill in the blank.

Correct Answer: 7

Rationale: Rate = 500 mL ÷ 12 hr = 41.67 mL/hr. Drops/min = (41.67 mL/hr × 10 gtts/mL) ÷ 60 min = 6.94 gtts/min, rounded to 7 gtts/min.

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