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Questions 227

NCLEX-PN

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Question 1 of 5

Convert 4 ounces to an equivalent amount in tablespoons.

Correct Answer: B

Rationale: 1 ounce = 2 tablespoons, so 4 ounces × 2 = 8 Tbsp. Other options are incorrect conversions.

Question 2 of 5

An adult who had a deep vein thrombosis is prescribed warfarin (Coumadin). Which factor in the client's history will be of most concern to the nurse?

Correct Answer: A

Rationale: Osteoarthritis may involve NSAID use, which increases bleeding risk with warfarin, requiring close monitoring.

Question 3 of 5

A primigravida, 26 years old and 33 weeks gestation, is admitted to the hospital with painless vaginal bleeding. She reports that the bleeding, which started 2 hours ago, has lessened in amount. Which of the following measures should be included in the client's care?

Correct Answer: B

Rationale: Counting the number of pads used quantifies blood loss, aiding in the assessment of conditions like placenta previa, which causes painless bleeding.

Question 4 of 5

The CVP reading of a client with partial thickness burns is 6 mm H2O. The nurse recognizes that the client:

Correct Answer: B

Rationale: A central venous pressure (CVP) reading of 6 mm H2O is within the normal range (2-8 mm H2O), indicating adequate fluid status. Answer A is incorrect because the client does not need additional fluids. Answer C is incorrect because a CVP of 6 does not suggest congestive failure. Answer D is incorrect because a diuretic is not indicated with a normal CVP.

Question 5 of 5

The nurse is monitoring a client's EKG strip and notes coupled premature ventricular contractions greater than 10 per minute. The nurse should expect to administer which of the following?

Correct Answer: D

Rationale: Lidocaine is the drug of choice for frequent (>6–10/min) or coupled premature ventricular contractions (PVCs), as it suppresses ventricular arrhythmias and prevents ventricular tachycardia. Atropine (
A) treats bradycardia, isoproterenol (
B) is used for heart block, and verapamil (
C) is a calcium-channel blocker for supraventricular arrhythmias.

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