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Questions 227

NCLEX-PN

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Extract:


Question 1 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 2 of 5

The nurse is teaching a client with a new diagnosis of osteoporosis about lifestyle modifications. Which of the following recommendations should the nurse include?

Correct Answer: B

Rationale: Increasing calcium and vitamin D intake supports bone density in osteoporosis. Weight-bearing exercises (
A) are beneficial, fluid restriction (
C) is irrelevant, and smoking cessation (
D) should be encouraged, not stopped.

Question 3 of 5

First-time parents bring their 5 day-old infant to the pediatrician's office because they are extremely concerned about its breathing pattern. The nurse assesses the baby and finds that the breath sounds are clear with equal chest expansion. The respiratory rate is 38-42 breaths per minute with occasional periods of apnea lasting 10 seconds in length. What is the correct analysis of these findings?

Correct Answer: C

Rationale: This breathing pattern is normal. Newborns typically have a respiratory rate of 30-60 breaths/minute with brief apneic periods.

Extract:

The maximum safe height at which the container of fluid can be held when administering an enema is:


Question 4 of 5

The maximum safe height at which the container of fluid can be held when administering an enema is:

Correct Answer: C

Rationale: 45 cm (18 inches) ensures safe pressure to avoid bowel injury during an enema.

Extract:


Question 5 of 5

A patient is prescribed warfarin (Coumadin) for atrial fibrillation. Which of the following lab values should the nurse monitor to determine the effectiveness of the medication?

Correct Answer: C

Rationale: Warfarin’s anticoagulant effect is monitored via PT/INR, which assesses clotting time and therapeutic range for atrial fibrillation (typically INR 2.0–3.0). Platelet count, hemoglobin, and aPTT are not primary indicators for warfarin.

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