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NCLEX-PN

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Question 1 of 5

The rationale for refrigerating urine specimens that cannot be analyzed immediately is:

Correct Answer: B

Rationale: Refrigeration slows urea breakdown into ammonia, which alkalinizes urine and promotes cellular degradation, preserving specimen integrity.

Question 2 of 5

Which of the following is an appropriate nursing goal for a client at risk for nutritional problems?

Correct Answer: B

Rationale: Promoting healthy nutritional practices is a proactive goal to prevent nutritional issues. The other options are either interventions or specific outcomes not universally applicable. Basic Care and Comfort

Question 3 of 5

A nurse is caring for a patient with a chest tube. Which of the following findings should be reported immediately?

Correct Answer: A

Rationale: Continuous bubbling in the water seal chamber indicates an air leak, a serious complication requiring immediate reporting. Tidaling is normal, 50 mL/h drainage is expected, and occasional suction bubbling is normal.

Question 4 of 5

A nurse is preparing to administer 250 mg of acetaminophen PO to a child. The medication is available as 160 mg/5 mL. How many mL should the nurse administer?

Correct Answer: B

Rationale: 250 mg ÷ 160 mg/5 mL = 7.8125 mL, rounded to 7.8 mL. Other options are incorrect.

Question 5 of 5

A patient with chronic kidney disease is receiving hemodialysis. Which of the following assessments is most important before starting the dialysis session?

Correct Answer: A

Rationale: Blood pressure assessment prevents complications like hypotension during dialysis, a common risk in renal failure. Respiratory rate, heart rate, and temperature are monitored but less critical.

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