Questions 150

NCLEX-RN

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Extract:


Question 1 of 5

Which of the following is not considered one of the 'Ten Rights of Medication Administration'?

Correct Answer: A

Rationale: The Ten Rights of Medication Administration include right patient, drug, dose, route, time, documentation, reason, response, refusal, and education. 'Right verification' is not a standard right.

Question 2 of 5

The nurse is preparing a presentation on nutrition to a group of pregnant adolescents. Which of the following would be important for the nurse to include in the teaching plan?

Correct Answer: C

Rationale: Three or more servings of dairy products provide adequate calcium, essential for fetal development and maternal bone health during pregnancy.

Question 3 of 5

The nurse is caring for a client with a chest tube. Which of the following findings requires immediate intervention?

Correct Answer: B

Rationale: Clamping the tubing near the insertion site can cause a tension pneumothorax, requiring immediate correction.

Question 4 of 5

The nurse is teaching a 17-year-old girl who has a severe gonorrheal infection. The nurse realizes that the girl needs further teaching when she states:

Correct Answer: A,B

Rationale: Gonorrhea does not confer immunity, and partners require treatment to prevent reinfection. Potential infertility is a correct understanding, but believing protection eliminates all problems is overly optimistic.

Question 5 of 5

The nurse is caring for a client with bipolar disorder in a manic phase. Which intervention is most appropriate?

Correct Answer: B

Rationale: A quiet environment reduces stimuli, helping to calm a client in a manic phase.

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