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Questions 163

NCLEX-PN

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Question 1 of 5

The nurse should monitor for which potential complication in a client receiving IV vancomycin and gentamicin?

Correct Answer: C

Rationale: Vancomycin and gentamicin are nephrotoxic, so monitoring for increased serum creatinine is essential to detect kidney injury. GI bleeding , anemia , and muscle cramps are less directly related.

Question 2 of 5

A client is scheduled for a myelogram. Which of the following medications orders should be questioned?

Correct Answer: B

Rationale: Ibuprofen (Motrin) has anticoagulant properties, increasing bleeding risk during a myelogram, a procedure involving spinal puncture. Other medications are safer.

Question 3 of 5

Which of the following tasks can the practical nurse (PN) safely assign to an experienced unlicensed assistive personnel (UAP)? Select all that apply.

Correct Answer: A,B,D,E

Rationale: UAP can ambulate stable clients , check pulse oximetry , provide oral hygiene , and reposition clients . Instructing on incentive spirometry requires nursing judgment and is not delegable.

Question 4 of 5

The nurse is observing a staff member caring for a client who has varicella with active lesions. The nurse should intervene if the staff member is observed

Correct Answer: C

Rationale: Removing an N95 mask inside the room of a varicella client risks airborne exposure, requiring intervention. Other actions (A, B,
D) follow correct infection control protocols.

Question 5 of 5

The nurse is caring for 2 children who have had surgical repair of congenital heart defects. For which defect is it a priority to assess for findings of heart conduction disturbance?

Correct Answer: D

Rationale: Ventricular septal defect. Surgical repair involves manipulation of the ventricular septum, increasing the risk of conduction disturbances.

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