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Questions 149

NCLEX-RN

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Question 1 of 5

The nurse is precepting a student nurse on the postsurgical floor. The student nurse needs to draw a potassium level. Which of the following statements by the student nurse is correct regarding blood draws from venous catheters?

Correct Answer: B

Rationale: Flushing with 10–20 mL of saline after drawing blood from a catheter prevents clotting and maintains patency. Peripheral catheters are not ideal for blood draws, central lines carry risks, and large needles can cause hemolysis.

Question 2 of 5

The parents of a child with cystic fibrosis ask what determines the prognosis of the disease. The nurse knows that the greatest determinant of the prognosis is:

Correct Answer: A

Rationale: Pulmonary complications, such as chronic infections and reduced lung function, are the primary determinants of prognosis in cystic fibrosis, as they significantly impact morbidity and mortality.

Question 3 of 5

When assessing a client for risk of hyperphosphatemia, which piece of information is most important for the nurse to obtain?

Correct Answer: D

Rationale: Dietary intake, particularly of phosphorus-rich foods, is the most significant factor in assessing hyperphosphatemia risk, as excessive intake can elevate serum phosphate levels.

Question 4 of 5

A client comes to the emergency department with scalding burns covering his entire left arm, anterior and posterior surfaces. Using the rule of nines, how much total body surface area (TBSA) has been burned? Record your answer using a whole number.

Correct Answer: 18

Rationale: Rule of nines: Entire arm (anterior and posterior) = 9% per arm. Left arm burn = 9% X 2 surfaces = 18% TBSA.

Question 5 of 5

A mother brings in her 9-month-old son for a routine checkup. She asks the nurse what developmental milestones to expect by 12 months of age. All of the following are correct responses by the nurse EXCEPT

Correct Answer: C

Rationale: By 12 months, infants can imitate gestures, hold a bottle, and respond to their name. Pointing to a named object typically develops closer to 18 months.

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