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

Questions 148

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Extract:


Question 1 of 5

The nurse is caring for clients on the postpartum unit. Which of the following should the nurse assess first?

Correct Answer: C

Rationale: A placenta delivered 10 minutes after the infant is at risk for retained fragments, which can cause postpartum hemorrhage, requiring immediate assessment.

Question 2 of 5

A client has orders for ampicillin 350 mg IM daily. The directions state to reconstitute with 3.5 mL of sterile water for a concentration of 500 mg/mL. How much will the nurse give?

Correct Answer: 0.7 mL

Rationale: Concentration: 500 mg/mL. Dose: 350 mg. Volume = 350 mg ÷ 500 mg/mL = 0.7 mL.

Question 3 of 5

Twenty-four hours after an uncomplicated labor and delivery, a client's WBC is 12,000 cu/mm. The elevation in the client's WBC is most likely an indication of:

Correct Answer: A

Rationale: A WBC of 12,000 cu/mm post-delivery is a normal physiological response to the stress of labor and delivery.

Question 4 of 5

A pregnant client at 36 weeks' gestation has partial placenta previa and has been on bedrest at home for the previous 4 weeks. The client has started to have occasional contractions and is beginning to experience increasing vaginal bleeding. What intervention does the nurse anticipate?

Correct Answer: D

Rationale: Increasing bleeding with placenta previa at 36 weeks requires cesarean delivery (
D) to prevent hemorrhage.
Tocolytics (
A), induction (
B), or transfusions (
C) are not primary interventions.

Question 5 of 5

The nurse is preparing to administer an injection of haloperidol decanoate (Haldol D). Which of the following actions by the nurse is MOST appropriate?

Correct Answer: B

Rationale: medication is very irritating to subcutaneous tissue

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