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Questions 148

NCLEX-RN

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Question 1 of 5

The physician has ordered a culture for the client with suspected gonorrhea. The nurse should obtain a culture of:

Correct Answer: D

Rationale: Gonorrhea is diagnosed by culturing genital secretions.

Question 2 of 5

A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:

Correct Answer: C

Rationale: The proximal end of a double-barrel colostomy, which produces stool, is typically on the client's right side.

Question 3 of 5

Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

Correct Answer: D

Rationale: A bus trip to a museum is a low-exertion activity at sea level, minimizing the risk of hypoxia compared to high-altitude or strenuous activities.

Question 4 of 5

A client with a history of phenylketonuria is seen at the local family planning clinic. After completing the client's intake history, the nurse provides literature for a healthy pregnancy. Which statement indicates that the client needs further teaching?

Correct Answer: A

Rationale: Nutrasweet (aspartame) contains phenylalanine, which must be avoided in phenylketonuria, indicating a need for further teaching.

Question 5 of 5

Which one of the following infants needs a further assessment of growth?

Correct Answer: B

Rationale: The 2-week-old has only gained 2 oz since birth, which is inadequate (normal is 0.5-1 oz/day), indicating a need for growth assessment.

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