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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

First-time parents bring their 5 day-old infant to the pediatrician's office because they are extremely concerned about its breathing pattern. The nurse assesses the baby and finds that the breath sounds are clear with equal chest expansion. The respiratory rate is 38-42 breaths per minute with occasional periods of apnea lasting 10 seconds in length. What is the correct analysis of these findings?

Correct Answer: C

Rationale: This breathing pattern is normal. Newborns typically have a respiratory rate of 30-60 breaths/minute with brief apneic periods.

Extract:

Which of the following is the appropriate narcotic-analgesic ordered to provide pain relief on the patient with pancreatitis?


Question 2 of 5

Codeine 30 mgs.

Correct Answer: C

Rationale: Demerol is preferred for pancreatitis to avoid morphine's effect on the sphincter of Oddi.

Extract:


Question 3 of 5

The licensed practical nurse is caring for a client with congestive heart failure. The nurse should immediately report the presence of:

Correct Answer: A

Rationale: Pink, frothy sputum indicates pulmonary edema, a life-threatening complication of CHF requiring immediate reporting. Edema, shortness of breath, and weak pulses are expected but less urgent.

Extract:

The client who's developing signs and symptoms indicate hyperglycemia?


Question 4 of 5

The client who's developing signs and symptoms indicate hyperglycemia?

Correct Answer: A

Rationale: Hyperglycemia causes polydipsia, polyuria, and weight loss due to osmotic diuresis.

Extract:

This is a 70-year-old male patient admitted due to hiccups, confusion, right arm & right leg weakness, facial droop and slurred speech. He has an Hx of CAD & had the 2nd CABG about 4 years ago.


Question 5 of 5

The nurse is aware that clinical manifestations differentiate right CHF from left CHF. Symptoms of right CVA would include:

Correct Answer: A

Rationale: Right-sided symptoms like jugular vein distension are unrelated to CVA; question likely meant right CHF.

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