NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Extract:


Question 1 of 5

The nurse is caring for a client receiving IV vancomycin. The trough level is 14 mcg/mL. The next dose is now due. What is the correct response by the nurse?

Correct Answer: A

Rationale: A trough level of 14 mcg/mL is within the therapeutic range (10–20 mcg/mL) for vancomycin, so the next dose can be given as ordered.

Question 2 of 5

The nurse knows the best intervention for preventing a postoperative infection is

Correct Answer: D

Rationale: Hand hygiene is the most effective intervention to prevent postoperative infections, reducing pathogen transmission.

Question 3 of 5

The nurse is caring for a client with a closed head injury. Fluid is assessed leaking from the ear. The nurse's first action will be to:

Correct Answer: C

Rationale: Fluid leaking from the ear may indicate cerebrospinal fluid (CSF) leakage, a serious complication. Testing for glucose (positive in CSF) is the first step to confirm the nature of the drainage.

Question 4 of 5

A client with AIDS-related cytomegalovirus is started on Cytovene (ganciclovir). The nurse should tell the client that the medication will be needed:

Correct Answer: D

Rationale: Ganciclovir is typically required lifelong for AIDS-related cytomegalovirus to prevent recurrence.

Question 5 of 5

A pregnant woman undergoes a 40-minute nonstress test for evaluation of the fetal heart rate (FHR) and accelerations. Which of the following test results is normal (reactive)?

Correct Answer: C

Rationale: A reactive nonstress test requires at least two accelerations of FHR by 15 bpm for 15 seconds within 20-40 minutes. No accelerations (
C) is considered normal (reactive) if other criteria are met, but typically, accelerations are expected. Options A, B, D do not meet standard reactive criteria.

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