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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is preparing to administer a dose of amoxicillin (Amoxil) to a client with a urinary tract infection. The client reports a history of penicillin allergy. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: clarifying the type of allergic reaction is essential, as amoxicillin is a penicillin derivative and could cause a severe reaction

Question 2 of 5

A child is to receive heparin sodium 5 units per kilogram of body weight by subcutaneous route every 4 hours. The child weighs 52.8 lb. How many units should the child receive in a 24-hour period?

Correct Answer: C

Rationale: Weight: 52.8 lb ÷ 2.2 = 24 kg. Dose: 5 units/kg × 24 kg = 120 units every 4 hours. 24 hours ÷ 4 = 6 doses/day. 120 × 6 = 720 units/day.

Question 3 of 5

A client has orders for placing a small-bore nasoenteric tube. Which finding in the health history would prompt the nurse to notify the prescriber before placing tube?

Correct Answer: B

Rationale: A basilar skull fracture is a contraindication for nasoenteric tube placement due to the risk of intracranial insertion. Other conditions are not absolute contraindications.

Question 4 of 5

The nurse is teaching a client with limited mobility about preventing blood clots. Which statement by the nurse is correct?

Correct Answer: A

Rationale: Crossing legs can impede venous return, increasing clot risk, so avoiding this is correct. Long car rides are a risk but not limited to two hours, and pillows under knees can worsen circulation.

Question 5 of 5

The nurse has just received a report from the previous shift. Which of the following clients should the nurse visit first?

Correct Answer: B

Rationale: Shortness of breath post-MVA suggests potential trauma (e.g., pneumothorax), requiring immediate assessment. The other clients' conditions are less acute.

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