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Questions 149

NCLEX-RN

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Question 1 of 5

The physician has ordered Amoxil (amoxicillin) 500 mg capsules for a client with esophageal varices. The nurse can best care for the client's needs by:

Correct Answer: D

Rationale: Capsules can be difficult to swallow and may lodge in esophageal varices, increasing the risk of bleeding. An alternate form, such as a liquid, is safer.

Question 2 of 5

A 10-year-old girl has been diagnosed with scabies. There are three other children and two adults living in the household. The nurse can best educate caregivers by stating,

Correct Answer: B

Rationale: Scabies is highly contagious via skin-to-skin contact or shared items. All household members should be treated simultaneously to prevent reinfestation, regardless of symptoms.

Question 3 of 5

A client with liver failure and ascites is having a paracentesis to relieve severe dyspnea resulting from abdominal fluid accumulation. Prior to the procedure, the nurse assists the client to urinate. Which of the following is the most important reason to have the patient urinate?

Correct Answer: C

Rationale: Urinating before paracentesis prevents bladder puncture (
C) by emptying the bladder, reducing risk during needle insertion.

Question 4 of 5

The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician's teaching by telling the parents that:

Correct Answer: B

Rationale: Congenital hypothyroidism requires lifelong thyroid hormone replacement therapy to maintain normal metabolism and development.

Question 5 of 5

The nurse is serving on the performance improvement committee, which has agreed to some changes in procedures on the basis of evidence-based research. If the committee wants to convince staff members to comply with the changes, which of the following actions should the committee carry out first?

Correct Answer: A

Rationale: Gaining key staff support (
A) builds buy-in and facilitates change adoption. Consequences (
B), rewards (
C), or written expectations (
D) follow.

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