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Questions 227

NCLEX-PN

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Extract:

The patient delivered vaginally in small community.


Question 1 of 5

The nurse is assessing a term neonate about neonate rooting reflex by.

Correct Answer: A

Rationale: Stroking the cheek elicits the rooting reflex, guiding the neonate to feed.

Extract:


Question 2 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 3 of 5

A nurse is assessing a patient who has been receiving morphine for pain management. Which of the following findings indicates a need for immediate intervention?

Correct Answer: C

Rationale: A respiratory rate of 10 breaths per minute indicates respiratory depression, a life-threatening side effect of morphine, requiring immediate intervention (e.g., naloxone). Drowsiness, constipation, and nausea are expected but less urgent.

Question 4 of 5

The nurse is implementing a plan of care for a client with myxedema. Based on the client's diagnosis, the nurse should:

Correct Answer: C

Rationale: Myxedema (hypothyroidism) causes cold intolerance, so an additional blanket is appropriate. High-calorie snacks are for hyperthyroidism. Foot elevation and ketone checks are unrelated.

Question 5 of 5

The nurse is teaching a group of college students about breast self-examination. A woman asks for the best time to perform the monthly exam. What is the best reply by the nurse?

Correct Answer: B

Rationale: The best time for a breast self-exam (BSE) is a week after a menstrual cycle, when the breasts are no longer swollen and tender due to hormone elevation.

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