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Questions 148

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

The nurse is observing a student nurse administer a client's medications via a nasogastric (NG) tube. The nurse understands that the student nurse needs further teach if the student nurse performs which action?

Correct Answer: F

Rationale: All listed actions are correct for NG medication administration. No intervention is needed.

Question 2 of 5

An ICU nurse monitors a client recovering from a head injury. The client's intracranial pressure (ICP) has been between 15 and 19 mmHg throughout the shift. However, after the nurse suctions the client's endotracheal tube, the ICP jumps to 28 mmHg. It decreases a few minutes later to 20 mmHg. The best intervention by the nurse is to

Correct Answer: D

Rationale: A sudden ICP spike to 28 mmHg post-suctioning suggests a significant issue (e.g., impaired cerebral perfusion). The physician should be contacted for evaluation.

Question 3 of 5

The physician has ordered a culture for the client with suspected gonorrhea. The nurse should obtain a culture of:

Correct Answer: D

Rationale: Gonorrhea is diagnosed by culturing genital secretions.

Question 4 of 5

All of the following are modifiable risk factors for coronary artery disease (CAD) EXCEPT

Correct Answer: D

Rationale: Family history is a non-modifiable risk factor for CAD. Stress, obesity, and smoking can be modified through lifestyle changes.

Question 5 of 5

Which action is contraindicated in the client with epiglottis?

Correct Answer: B

Rationale: Using a tongue blade can trigger airway obstruction in epiglottitis, making it contraindicated.

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