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Questions 148

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

Which action is contraindicated in the client with epiglottis?

Correct Answer: B

Rationale: Using a tongue blade can trigger airway obstruction in epiglottitis, making it contraindicated.

Question 2 of 5

The client pulls out the chest tube and fails to report the occurrence to the nurse. When the nurse discovers the incidence, he should take which initial action?

Correct Answer: C

Rationale: Covering the insertion site with Vaseline gauze prevents air entry into the pleural space, stabilizing the client until further intervention.

Question 3 of 5

The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:

Correct Answer: D

Rationale: Quinidine can prolong the QT interval, increasing the risk of torsades de pointes.

Question 4 of 5

After several hospitalizations for respiratory ailments, a 6-month-old has been diagnosed as having HIV. The infant's respiratory ailments were most likely due to:

Correct Answer: A

Rationale: Pneumocystis carinii (now Pneumocystis jirovecii) is a common cause of pneumonia in HIV-infected infants.

Question 5 of 5

The ED nurse is caring for a client whose native tongue is not English. The client speaks Korean and only understands a few words of English. The nurse understands that which response is best regarding how to communicate with this client?

Correct Answer: D

Rationale: Using an official interpreter ensures accurate, unbiased communication, adhering to ethical and legal standards for patient care.

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