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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

A postpartum mother is unwilling to allow the father to participate in the newborn's care, although he is interested in doing so. She states, 'I am afraid the baby will be confused about who the mother is. Baby raising is for mothers, not fathers.' The nurse's initial intervention should be what focus?

Correct Answer: B

Rationale: Set time aside to get the mother to express her feelings and concerns. This facilitates understanding and resolution of her concerns.

Extract:

A 45-year-old patient is overweight and would like to start a jogging program.


Question 2 of 5

When the nurse was informed, the most appropriate advised would be:

Correct Answer: C

Rationale: A physical examination ensures safety before starting an exercise program, especially for an overweight patient.

Extract:


Question 3 of 5

A nurse is caring for a patient with a peptic ulcer. Which of the following medications should the nurse anticipate administering?

Correct Answer: A

Rationale: Omeprazole, a proton pump inhibitor, reduces acid production, promoting peptic ulcer healing. Metformin, lisinopril, and furosemide treat unrelated conditions.

Question 4 of 5

A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). Which of the following interventions should be implemented

Correct Answer: D

Rationale: Positioning in high Fowler’s promotes lung expansion and eases breathing immediately in COPD. Bronchodilators, pursed-lip breathing, and oxygen adjustments are secondary, requiring orders or more time.

Question 5 of 5

The physician prescribes meperidine (Demerol), 1.1 mg/kg I.M., for a 16-month-old child who has just had abdominal surgery. When administering this drug, the nurse should use a needle of which size?

Correct Answer: C

Rationale: For an infant, the nurse should use a needle with the smallest appropriate gauge for the medication to be given. For an I.M. injection of meperidine, a 25G to 22G needle is appropriate.

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