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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is assessing a client with a history of heart failure. Which of the following findings would indicate worsening heart failure?

Correct Answer: A

Rationale: Weight gain of 2 kg in 24 hours indicates fluid retention, a sign of worsening heart failure due to decreased cardiac output. Normal blood pressure (
B), heart rate (
C), and clear lungs (
D) do not suggest decompensation.

Extract:

On the second day of surgery, the mother reported fever and rapid respirations on her child. The child's temperature was 39°C.


Question 2 of 5

The first action taken by the nurse should be to

Correct Answer: A

Rationale: Fever and rapid respirations post-surgery may indicate infection or complications, requiring immediate physician notification.

Extract:

A 4-year-old child is being discharge.


Question 3 of 5

What is the suitable car seat for the child?

Correct Answer: B

Rationale: A 4-year-old typically uses a forward-facing car seat with a harness, appropriate for their size.

Extract:


Question 4 of 5

The physician writes an order for furosemide (Lasix) 120 mg. Each tablet contains 40 mg. How many tablets would you administer?

Correct Answer: C

Rationale: 120 mg ÷ 40 mg/tab = 3 tablets. Whole tablets are administered, and 3 tabs is exact. Other options are incorrect calculations or non-standard dosing.

Question 5 of 5

The nurse should teach parents of small children that the most common type of first-degree burn is:

Correct Answer: D

Rationale: Sunburn is the most common first-degree burn in children due to frequent sun exposure without adequate protection. Education on sunscreen use is critical. Safety and Infection Control

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