NCLEX Questions, NCLEX RN Practice Test Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Extract:


Question 1 of 5

The nurse is working with mothers and newborns. When educating a new mother about security measures to protect her infant, which of the following should the nurse include?

Correct Answer: C

Rationale: Notifying the nurse about anyone removing the infant (
C) enhances security. Unattended time (
A), hospital attire (
B), or ID alone (
D) are not sufficient safeguards.

Question 2 of 5

The nurse is caring for a client after a laryngectomy. The client is anxious, with a respiratory rate of 32 and an oxygen saturation of 88. The nurse's first action should be to:

Correct Answer: B

Rationale: Low oxygen saturation (88%) and high respiratory rate indicate hypoxemia. Increasing oxygen flow rate is the fastest way to improve oxygenation. Suctioning may be needed later, but oxygen is the priority.

Question 3 of 5

The nurse working in an outpatient clinic has the opportunity to teach a client recently diagnosed with irritable bowel syndrome (IBS). Which of the following topics would be most appropriate for the nurse to include? Select all that apply.

Correct Answer: B, D

Rationale: Stress reduction techniques and daily probiotics can help manage IBS symptoms, while limiting fluids is not recommended, and iced tea may exacerbate symptoms due to caffeine.

Question 4 of 5

A client has an order for Demerol 75 mg and atropine 0.4 mg IM as a preoperative medication. The Demerol vial contains 50 mg/mL, and atropine is available 0.4 mg/mL. How many milliliters will the nurse administer in total?

Correct Answer: C

Rationale: Demerol: 75 mg ÷ 50 mg/mL = 1.5 mL. Atropine: 0.4 mg ÷ 0.4 mg/mL = 1 mL.
Total = 1.5 mL + 1 mL = 2.5 mL.

Question 5 of 5

The nurse caring for clients with coronary artery disease recognizes which one of the following as a modifiable risk factor?

Correct Answer: C

Rationale: An elevated LDL level (180 mg/dL) is modifiable through diet, exercise, and medication, unlike family history, race, or gender, which are non-modifiable.

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