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

Questions 149

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Extract:


Question 1 of 5

The nurse is observing a student nurse administering ear drops to a 2-year-old. Which observation by the nurse would indicate correct technique?

Correct Answer: C

Rationale: For children under 3, pulling the pinna down and back straightens the ear canal for proper ear drop administration.

Question 2 of 5

A client has been diagnosed with immune thrombocytic purpura (ITP). Which of the following signs and symptoms indicate increased thrombocytopenia? Select all that apply.

Correct Answer: A,B

Rationale: ITP causes low platelets, leading to nosebleeds (
A) and petechiae/bruising (
B). Vision changes (
C), numbness (
D), and confusion (E) are not typical.

Question 3 of 5

Which vitamin should be administered with INH (isoniazid) in order to prevent possible nervous system side effects?

Correct Answer: C

Rationale: Pyridoxine (vitamin B6) is given with isoniazid to prevent peripheral neuropathy, a potential side effect of the medication.

Question 4 of 5

A client experienced a major burn over 55% of his body 36 hours ago. The client is restless and anxious, and states, 'I am in pain.' There is a physician prescription for intravenous morphine. The nurse's first action would be to:

Correct Answer: B

Rationale: Assessing respirations is critical before administering morphine, as opioids can cause respiratory depression, especially in a burn client with potential airway compromise.

Question 5 of 5

The nurse is caring for a client with leukemia who has received the drug (daunorubicin) Cerubidine. Which of the following common side effects would cause the most concern?

Correct Answer: C

Rationale: Daunorubicin is known for cardiotoxicity, which can lead to heart failure and is life-threatening, making it the most concerning side effect. Nausea, vomiting, and alopecia are common but less severe.

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