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Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

When administering a tuberculin skin test, the nurse should insert the needle at a:

Correct Answer: A

Rationale: A 15° angle is used for intradermal injections like the tuberculin skin test to ensure proper placement in the dermis.

Question 2 of 5

A client with an esophageal tamponade develops symptoms of respiratory distress, including inspiratory stridor. The nurse should give priority to:

Correct Answer: B

Rationale: Respiratory distress with stridor suggests airway obstruction from the tamponade, requiring immediate tube removal after deflation to restore airway patency.

Question 3 of 5

The physician has ordered that a 132-pound client with increased intracranial pressure receive 0.5 g of mannitol per kg in an IV solution. How many grams should be in the total mannitol dose? Record your answer using a whole number.

Correct Answer: 30

Rationale: Weight = 132 lb/ 2.2 = 60 kg. Dose = 0.5 g/kg X 60 kg = 30 g.

Question 4 of 5

The client taking Glyburide (Diabeta) should be cautioned to:

Correct Answer: D

Rationale: Daily glucose monitoring is essential for clients on Glyburide to manage blood sugar levels effectively.

Question 5 of 5

During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?

Correct Answer: A

Rationale: Fetal heart tones loudest in the upper-right quadrant suggest a breech presentation, with the fetus's heart higher in the uterus.

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