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NCLEX
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Q1
Score: 1
Body temperature of 99°F or less
Toes moved in active range of motion
Sensation reported when soles of feet are touched
Capillary refill of < 3 seconds
Q2
Score: 1
Steak
Cottage cheese
Popsicle
Lima beans
Q3
Score: 1
Question the order
Administer the medication
Administer separately
Contact the pharmacy
Q4
Score: 1
Feet
Neck
Hands
Sacrum
Q5
Score: 1
Digoxin
Epinephrine
Aminophylline
Atropine
Q6
Score: 1
Pain at the site
Warm fingers
Pulses rapid
Paresthesia of the fingers
Q7
Score: 1
Atrial flutter
A sinus rhythm
Ventricular tachycardia
Atrial fibrillation
Q8
Score: 1
A tracheostomy set
A padded tongue blade
An endotracheal tube
An airway
Q9
Score: 1
Meperidine 100mg IM m 4 hours PRN pain
Mylanta 30 ccs m 4 hours via NG
Cimetadine 300mg PO m.i.d
Morphine 8mg IM m 4 hours PRN pain
Q10
Score: 1
The bladder fills more rapidly because of the medication used for the epidural.
Her level of consciousness is such that she is in a trancelike state.
The sensation of the bladder filling is diminished or lost.
She is embarrassed to ask for the bedpan that frequently.
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