-RN Certification Exam Questions with AI Explanations

QUESTION: 163

The nurse is teaching a 10-year-old insulin-dependent diabetic how to administer insulin. Which one of the following steps must be taught for insulin administration?

Never use abdominal site for a rotation site.
Pinch the skin up to form a subcutaneous pocket.
Avoid applying pressure after injection.
Change needles after injection.

Answer(s): B

Explanation:

(A) Sites for injection need to be rotated, including abdominal sites, to enhance insulin absorption. (B) The pinch technique is the most effective method for obtaining skin tightness to allow easy entrance of the needle to subcutaneous tissues. (C) Massaging the site of injection facilitates absorption of the insulin. (D) Changing the needle will break the sterility of the system. It has become acceptable practice to reuse disposable needles and syringes for 37 days.

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QUESTION: 164

The nurse would be sure to instruct a client on the signs and symptoms of an eye infection and hemorrhage.
These signs and symptoms would include:

Blurred vision and dizziness
Eye pain and itching
Feeling of eye pressure and headache
Eye discharge and hemoptysis

Answer(s): B

Explanation:

(A) Although blurred vision may occur, dizziness would not be associated with an infection or hemorrhage. (B) Eye pain is a symptom of hemorrhage within the eye, and itching is associated with infection. (C) Nausea and headache would not be usual symptoms of eye hemorrhage or infection. (D) Some eye discharge might be anticipated if an infection is present; hemoptysis would not.

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QUESTION: 164

The nurse would be sure to instruct a client on the signs and symptoms of an eye infection and hemorrhage.
These signs and symptoms would include:

Blurred vision and dizziness
Eye pain and itching
Feeling of eye pressure and headache
Eye discharge and hemoptysis

Answer(s): B

Explanation:

(A) Although blurred vision may occur, dizziness would not be associated with an infection or hemorrhage. (B) Eye pain is a symptom of hemorrhage within the eye, and itching is associated with infection. (C) Nausea and headache would not be usual symptoms of eye hemorrhage or infection. (D) Some eye discharge might be anticipated if an infection is present; hemoptysis would not.

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QUESTION: 165

A 4-year-old child is being discharged from the hospital after being treated for severe croup. Which one of the following instructions should the nurse give to the child's mother for the home treatment of croup?

Take him in the bathroom, turn on the hot water, and close the door.
Give him a dose of antihistamine.
Give large amounts of clear liquids if drooling occurs.
Place him near a cool mist vaporizer and encourage crying.

Answer(s): A

Explanation:

(A) Initial home treatment of croup includes placing the child in an environment of high humidity to liquefy and mobilize secretions. (B) Antihistamines should be avoided because they can cause thickening of secretions. (C) Drooling is a characteristic sign of airway obstruction and the child should be taken directly to the emergency room. (D) Crying increases respiratory distress and hypoxia in the child with croup. The nurse should promote methods that will calm the child.

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QUESTION: 165

A 4-year-old child is being discharged from the hospital after being treated for severe croup. Which one of the following instructions should the nurse give to the child's mother for the home treatment of croup?

Take him in the bathroom, turn on the hot water, and close the door.
Give him a dose of antihistamine.
Give large amounts of clear liquids if drooling occurs.
Place him near a cool mist vaporizer and encourage crying.

Answer(s): A

Explanation:

(A) Initial home treatment of croup includes placing the child in an environment of high humidity to liquefy and mobilize secretions. (B) Antihistamines should be avoided because they can cause thickening of secretions. (C) Drooling is a characteristic sign of airway obstruction and the child should be taken directly to the emergency room. (D) Crying increases respiratory distress and hypoxia in the child with croup. The nurse should promote methods that will calm the child.

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NCLEX National Council Licensure Examination - -RN NCLEX-RN Exam Questions in PDF

Free NCLEX NCLEX-RN Dumps Questions (page: 66)

QUESTION: 163

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QUESTION: 164

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QUESTION: 164

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QUESTION: 165

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QUESTION: 165

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