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Question 1 of 5

The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:

Correct Answer: B

Rationale: Lisinopril and furosemide are commonly used together for hypertension, as they have complementary effects, so administering them is appropriate.

Question 2 of 5

The nurse must administer in one syringe a combined dose of two different insulins from two vials. Place the steps (Roman numerals) in the correct order.

Order the Items

Source Container

Cleanse tops of vials.
Inject air into vial 1.
Withdraw medication from vial 1.
Change needles.
Withdraw medication from vial 2.
Inject air into vial 2.

Correct Answer: A,B,F,C,E

Rationale: The correct order is: Cleanse vials (I), inject air into vial 1 (II), inject air into vial 2 (VI), withdraw from vial 1 (III), withdraw from vial 2 (V). Changing needles (IV) is not standard.

Question 3 of 5

A non-immune nurse should not be assigned a client who has which of the vaccine-preventable airborne diseases? Select all that apply.

Correct Answer: A,C

Rationale: Tuberculosis and smallpox are airborne, vaccine-preventable diseases posing risks to non-immune nurses. Influenza and pertussis are primarily droplet-transmitted.

Question 4 of 5

A 34-year-old client is receiving an IM injection of ceftriaxone (Rocephin) for a urinary tract infection. Which is correct regarding IM injections?

Correct Answer: C

Rationale: IM injections are given at a 90-degree angle to ensure muscle penetration. A 25-gauge needle is too small, a 45-degree angle is for subcutaneous injections, and a bleb indicates intradermal injection.

Question 5 of 5

The nurse is assessing the reflexes of a full-term newborn infant. Which of the following is true regarding newborn reflexes?

Correct Answer: D

Rationale: The Moro reflex, present at birth, typically disappears by 6 months. Babinski persists until ~2 years, fencing (tonic neck) until 4-6 months, and stepping until 1-2 months.

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