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Questions 227

NCLEX-PN

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Extract:

The description that should be used for the soft swishing sounds of normal breathing heard when the nurse auscultate a patient's chest would be:


Question 1 of 5

The description that should be used for the soft swishing sounds of normal breathing heard when the nurse auscultate a patient's chest would be:

Correct Answer: C

Rationale: Vesicular breath sounds are soft, swishing sounds heard over healthy lung fields.

Extract:


Question 2 of 5

The nurse is preparing a five-year-old child for surgery. The nurse notes that the child's parents are divorced and have joint legal custody. The informed consent for surgery has been signed by the mother. Which of the following actions by the nurse is BEST?

Correct Answer: D

Rationale: Consent from either parent with joint legal custody is sufficient for surgical procedures. Since the mother has provided informed consent, no further action is needed, and the nurse should continue preoperative preparation. Notifying the physician or surgery, or contacting the father, is unnecessary.

Question 3 of 5

Broccoli, oranges, dark greens, and dark yellow vegetables can be eaten to:

Correct Answer: D

Rationale: These foods are rich in vitamins, minerals, and antioxidants, which support the immune system and help improve body defenses. The other options are not directly related to the primary benefit of consuming these vegetables. Nonpharmacological Therapies

Question 4 of 5

A schizophrenic client talks animatedly but the staff are unable to understand what the client is communicating. The client is observed mumbling to herself and speaking to the radio. A desirable outcome for this client's care will be

Correct Answer: D

Rationale: Engages in meaningful and understandable verbal communication. The outcome addresses the impaired verbal communication deficit observed in the client.

Question 5 of 5

The nurse has an order for 75 mg of Demerol (meperidine) and 50 mg of Phenergan (promethazine) to be given to a post-operative client. The nurse should:

Correct Answer: B

Rationale: Drawing medications separately and using different sites prevents incompatibility reactions. Combining in one syringe risks precipitation, the medications are synergistic, and dorsogluteal/deltoid sites are less preferred.

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