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NCLEX-PN

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Question 1 of 5

The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:

Correct Answer: C

Rationale: Cyanosis of the hands and feet (acrocyanosis) is common in newborns and may result in a 1-point deduction from a perfect Apgar score of 10.

Question 2 of 5

The drug of choice to decrease uric acid levels is:

Correct Answer: B

Rationale: Allopurinol reduces uric acid production, making it the drug of choice for gout management. The other medications address inflammation, pain, or fluid balance, not uric acid directly. Physiological Adaptation

Question 3 of 5

A woman who is in labor is being treated for preeclampsia. How will the nurse know if the client develops eclampsia?

Correct Answer: B

Rationale: Eclampsia is characterized by seizures in a preeclamptic patient, distinguishing it from preeclampsia, which involves hypertension, edema, and proteinuria.

Question 4 of 5

The RN delegates the task of taking vital signs of all the clients on the medical-surgical unit to an unlicensed assistive personnel (UAP). Specific written and verbal instructions are given to not take a post-mastectomy client's blood pressure on the left arm. Later as the RN is making rounds, the nurse finds the blood pressure cuff on that client's left arm. Which of these statements is most immediately accurate?

Correct Answer: D

Rationale: The UAP is responsible for carrying out the activity correctly once directions have been clearly communicated especially if given verbally and in writing.

Question 5 of 5

The family of a young adult who has been declared brain dead following an auto accident is approached by the physician about organ donation. Later they ask the nurse, 'If we donate the organs, can we still have a viewing and a regular funeral?' How should the nurse respond?

Correct Answer: A

Rationale: Organ donation surgery is performed carefully to preserve the body's appearance, allowing open-casket viewing and normal funeral proceedings, independent of accident injuries or clergy views.

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