NCLEX Questions, NCLEX RN Practice Test Free Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Extract:


Question 1 of 5

A nurse performing a newborn assessment would expect what respiratory rate and heart rate as a normal finding?

Correct Answer: C

Rationale: Newborns have a respiratory rate of 30-60 breaths/min and heart rate of 120-160 beats/min. Option C (RR 46, HR 153) is within normal ranges.

Question 2 of 5

The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:

Correct Answer: B

Rationale: Hypersomnolence is an expected side effect of magnesium sulfate due to its central nervous system depressant effects.

Question 3 of 5

All of the following are parts of the middle ear EXCEPT the

Correct Answer: A

Rationale: The middle ear includes the incus, stapes, and malleus (ossicles). The pinna is part of the outer ear.

Question 4 of 5

An RN notices an LPN in the medication room drawing up morphine. The RN asks the LPN who it is for. The LPN states that one of her clients needs pain medication. The RN offers to administer the dose, but the LPN says, 'It's ok. I can give it. I've had this client for several days and she is stable.' Which is the correct response by the nurse?

Correct Answer: C

Rationale: LPNs typically cannot administer IV narcotics like morphine in most states due to scope of practice limitations. The RN should report this to the charge nurse for clarification and safety.

Question 5 of 5

A client who experienced a cardiac arrest and resuscitation is exhibiting characteristics of mild anoxic brain injury. Which of the following characteristics does the nurse expect her to exhibit? Select all that apply.

Correct Answer: A,C,E,F

Rationale: Mild anoxic brain injury may cause decreased concentration (
A), memory impairment (
C), decreased balance (E), and restlessness (F). Seizures (
B) and semicomatose state (
D) are more typical of severe injury.

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