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Questions 227

NCLEX-PN

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Extract:

The nurse documents and performs which of the following when the patient refuses his medication?


Question 1 of 5

Kardex; physician.

Correct Answer: C

Rationale: Documenting in the medication record and progress notes, and informing the physician, ensures accurate communication.

Extract:


Question 2 of 5

A client being discharged from the cardiac step-down unit following a myocardial infarction (MI), is given a prescription for a beta-blocking drug. A nursing student asks the charge nurse why this drug would be used by a client who is not hypertensive. What is an appropriate response by the charge nurse?

Correct Answer: C

Rationale: One action of beta-blockers is to decrease systemic vascular resistance by dilating arterioles. This is useful for the client with coronary artery disease, and will reduce the risk of another MI or sudden death.

Question 3 of 5

The licensed practical nurse is preparing to administer an injection of vitamin K to a newborn. The nurse should administer the injection in the:

Correct Answer: B

Rationale: The vastus lateralis is the preferred site for newborn IM injections due to its large muscle mass and safety. Other sites are less developed or risk nerve damage.

Question 4 of 5

The nurse is teaching a client with a new diagnosis of glaucoma about the condition. Which of the following statements by the client indicates understanding?

Correct Answer: B

Rationale: Glaucoma involves increased intraocular pressure, and adherence to prescribed eye drops (e.g., timolol) is critical to prevent optic nerve damage. Dim light (
A) is unrelated, stopping medication (
C) is dangerous, and glaucoma results from reduced fluid drainage (not excess,
D).

Extract:

The patient delivered vaginally in small community.


Question 5 of 5

The nurse is assessing a term neonate about neonate rooting reflex by.

Correct Answer: A

Rationale: Stroking the cheek elicits the rooting reflex, guiding the neonate to feed.

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