NCLEX Questions, NCLEX PN Exam Practice Test Questions, NCLEX-PN Questions, Nurselytic

Questions 163

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Question 1 of 5

To prevent keratitis in an unconscious client, the nurse should apply moisturizing ointment to the

Correct Answer: B

Rationale: Eyes. Keratitis is a corneal ulcer or abrasion. Keratitis is caused by exposure and requires application of moisturizing ointment to the exposed cornea and a plastic bubble shield or eye patch.

Question 2 of 5

The doctor has ordered Polycillin (ampicillin) Suspension 150 mg every 6 hours. The suggested dose for infants is 25-50 mg/kg/day in equally divided doses. The infant weighs 7 kg. The nurse should:

Correct Answer: D

Rationale: The ordered dose (150 mg q6h = 600 mg/day) exceeds the safe range for a 7 kg infant (175-350 mg/day), requiring the nurse to verify the order with the doctor.

Question 3 of 5

The charge nurse on the eating disorder unit instructs a new staff member to weigh each client in his or her hospital gown only. What is the rationale for this nursing intervention?

Correct Answer: D

Rationale:
To reduce the tendency of the client to hide objects under his or her clothing. Clients may conceal weights to falsely indicate weight gain.

Question 4 of 5

A client with a embolus has an order for a continuous infusion of heparin. The doctor has ordered 1,200 units per hour. If the solution contains 1,250 units in $250 \mathrm{~mL}$, the nurse should administer how many $\mathrm{mL}$ per hour?

Correct Answer: B

Rationale: Calculation: (1,200 units/hour ÷ 1,250 units) × 250 mL = 24 mL/hour. This ensures the correct heparin dose is delivered.

Question 5 of 5

The nurse is caring for a school-aged client recently diagnosed with attention deficit hyperactivity disorder. The nurse should recognize that the client is at risk for experiencing

Correct Answer: C

Rationale: Children with ADHD often face challenges with academic performance and social interactions, increasing the risk of low self-esteem. A is not typically associated with ADHD. B and D are more relevant to psychotic disorders, not ADHD.

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