Questions 150

NCLEX-RN

NCLEX-RN Test Bank

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Question 1 of 5

The physician is calling in an order for ampicillin for a neonate. The nurse should do which of the following? Select all that apply.

Correct Answer: A,C,D

Rationale: Writing the order, repeating it back, and confirming with the physician ensure accuracy and safety for a telephone order.

Question 2 of 5

Which clinical manifestations are consistently observed in infants who have been diagnosed with congenital hypothyroidism? Select all that apply.

Correct Answer: B,C,D,F

Rationale: The infant with congenital hypothyroidism may display the following signs: skin mottling, a large fontanel, a large tongue, hypotonia, slow reflexes, bradycardia, and a distended abdomen. Other signs and symptoms include prolonged jaundice, lethargy, constipation, feeding problems, coldness to touch, umbilical hernia, hoarse cry, and excessive sleeping.

Question 3 of 5

Which of the following baseline laboratory data should be established before a client is started on tissue plasminogen activator or alteplase recombinant (Activase)?

Correct Answer: C

Rationale: These tests assess bleeding risk, critical before administering thrombolytics like alteplase, which can cause hemorrhage.

Question 4 of 5

A client with a history of chronic obstructive pulmonary disease (COPD) is prescribed theophylline. The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Theophylline can cause tachycardia due to its stimulant effects.

Question 5 of 5

The nurse is caring for a client with a chest tube in place for a pneumothorax. Which of the following findings indicates that the chest tube is functioning properly?

Correct Answer: C

Rationale: Fluctuation (tidaling) in the drainage tube with respiration indicates the chest tube is patent and functioning to remove air or fluid.

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