Questions 150

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NCLEX RN Questions with Detailed Explanations Questions

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Question 1 of 5

Which of the following measures should be implemented promptly after a client's nasogastric (NG) tube has been removed?

Correct Answer: A

Rationale: Oral hygiene removes residual tube-related irritation and promotes comfort after NG tube removal.

Question 2 of 5

A client is receiving a continuous infusion of heparin. The nurse notes a partial thromboplastin time (PTT) of 120 seconds. What should the nurse do first?

Correct Answer: A

Rationale: A PTT of 120 seconds is significantly above the therapeutic range (1.5 to 2 times normal), indicating a risk of bleeding. Stopping the infusion is the first action to prevent harm.

Question 3 of 5

Select the step of blood glucose level monitoring that is NOT accurate.

Correct Answer: D

Rationale: Pricking the pad of the finger is less accurate and more painful; the side of the finger is the preferred site for blood glucose monitoring.

Question 4 of 5

Which site or technique would you expect to use to administer ferrous sulfate?

Correct Answer: C

Rationale: The Z-track technique is used for ferrous sulfate IM injections to prevent leakage and skin staining.

Question 5 of 5

Identify this cardiac rhythm strip. Fill in the blank. A. Third Degree Heart Block B. Second-Degree Atrioventricular Block, Type II C. Ventricular fibrillation D. Premature Atrial Contractions

Question Image

Correct Answer: A

Rationale: Third Degree Heart Block shows complete dissociation between P waves and QRS complexes, assuming the strip matches this description.

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