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Questions 227

NCLEX-PN

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Extract:


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

A nurse is caring for a patient who is receiving chemotherapy. Which of the following medications should the nurse anticipate administering to prevent nausea and vomiting?

Correct Answer: A

Rationale: Ondansetron, a 5-HT3 antagonist, is the first-line antiemetic for chemotherapy-induced nausea, effectively blocking serotonin receptors. Other medications are less specific or used adjunctively.

Extract:

A 55-year-old male patient was admitted with a diagnosis of BPH (benign prostatic hypertrophy).


Question 3 of 5

Which of the following herbal medications, when asked by the patient, is appropriate alternative treatment?

Correct Answer: C

Rationale: Saw palmetto is commonly used to alleviate BPH symptoms by reducing prostate inflammation.

Extract:


Question 4 of 5

A client refuses to take the medication prescribed because the client prefers to take self-prescribed herbal preparations. What is the initial action the nurse should take?

Correct Answer: B

Rationale: Respect for differences is demonstrated by incorporating traditional cultural practices for staying healthy into professional prescriptions and interventions. The challenge for the health care provider is to understand the client's perspective. 'Culture care preservation or maintenance refers to those assistive, supporting, facilitative or enabling professional actions and decisions that help people of a particular culture to retain and/or preserve relevant care values to that they can maintain their well-being, recover from illness or face handicaps and/or death.'

Question 5 of 5

An adult has returned to the nursing care unit following abdominal surgery. She has an order for meperidine IM PRN for severe pain or acetaminophen #3 PO PRN for mild to moderate pain. The nurse asks the client if she is experiencing pain now, and she states, 'Yes, I am.' What is the most appropriate initial action for the nurse?

Correct Answer: C

Rationale: Assessing pain location and degree using a scale determines the appropriate medication (mild vs. severe), ensuring tailored pain management.

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