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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

Prochlorperazine maleate (Compazine) 10 mg IM has been ordered for a client. The client is also to receive Stadol 2 mg IM. Before administering these medications, the nurse should

Correct Answer: C

Rationale: Compazine (prochlorperazine) is incompatible with most medications, including Stadol (butorphanol), in the same syringe, as mixing may cause precipitation or reduced efficacy. Drawing them in separate syringes ensures safe administration. Monitoring vital signs (
A) is less critical, dilution (
B) is inappropriate, and verifying the route (
D) is unnecessary as IM is specified.

Question 2 of 5

Which fetal heart monitor pattern can indicate cord compression?

Correct Answer: A

Rationale: Variable decelerations are associated with umbilical cord compression, which can intermittently reduce fetal blood flow. The other patterns are related to different fetal conditions. Reduction of Risk Potential

Question 3 of 5

A client is being admitted with a diagnosis of possible pancreatitis. Which of the following is the best support for this diagnosis?

Correct Answer: C

Rationale: The client's amylase level is elevated above the normal level of 200 U/L. This measurement is the most accurate indicator of pancreatitis and the most objective and specific. The answers in A, B, and D are also clinical manifestations of pancreatitis, but are not as specific as the laboratory value, so they are incorrect choices.

Extract:

A patient has been receiving a cardiac glycoside, a diuretic, and a vasodilator and is on bedrest. The patient's apical pulse rate is 44.


Question 4 of 5

The nurse concludes that this pulse rate is most likely a result of the:

Correct Answer: D

Rationale: Cardiac glycosides like digoxin can cause bradycardia, especially at a pulse of 44.

Extract:


Question 5 of 5

An adult had an open cholecystectomy and has an open wound. The client refuses to look at the area during the dressing change. What is the most likely reason for this behavior?

Correct Answer: B

Rationale: Refusing to look at the wound suggests difficulty accepting a change in body image post-cholecystectomy, a common emotional response.

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