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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is preparing to administer a unit of packed red blood cells. Which solution should be used to prime the IV tubing?

Correct Answer: A

Rationale: 0.9% sodium chloride is compatible with red blood cells and prevents hemolysis during transfusion.

Question 2 of 5

A client with a history of depression is prescribed sertraline (Zoloft). Which side effect should the nurse monitor for?

Correct Answer: B

Rationale: Insomnia is a common side effect of sertraline, a selective serotonin reuptake inhibitor.

Question 3 of 5

Which instruction regarding rescue breathing is important to include in the parent-teaching plan when a newborn is at risk for sudden infant death syndrome (SIDS)?

Correct Answer: B

Rationale: For infant rescue breathing, covering the nose and mouth and blowing just enough air to make the chest rise ensures effective ventilation without overinflation.

Question 4 of 5

Which statement made by the parents of a toddler best suggests that the child has cystic fibrosis?

Correct Answer: A

Rationale: Salty perspiration is a hallmark of cystic fibrosis due to defective chloride transport, detectable through a sweat chloride test.

Question 5 of 5

During the first stage of a client's labor, the nurse finds that the fetal heart rate decreases during a contraction and returns to normal at the end of the contraction. Which action is the most appropriate in response to the assessment finding?

Correct Answer: A

Rationale: A temporary fetal heart rate decrease during contractions (early deceleration) is normal, indicating head compression, and requires no action.

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