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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is preparing to administer a medication via a nasogastric tube. Which of the following actions should the nurse perform FIRST?

Correct Answer: B

Rationale: Checking NG tube placement (e.g., via pH testing of aspirate) ensures the medication is delivered to the stomach, preventing aspiration. Crushing medication (
A) and flushing (
C) follow placement confirmation, and supine positioning (
D) increases aspiration risk.

Question 2 of 5

The nurse is preparing to administer a dose of enoxaparin (Lovenox) to a client with a pulmonary embolism. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Enoxaparin, a low-molecular-weight heparin, is administered subcutaneously in the abdomen (avoiding a 2-inch radius around the umbilicus) to ensure proper absorption. Deltoid injection (
A) is incorrect, massaging (
B) risks hematoma, and dilution (
D) is unnecessary.

Question 3 of 5

A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months. The nurse should assess the woman for other symptoms of:

Correct Answer: C

Rationale: Irregular menses in a middle-aged woman suggests perimenopause, a transitional phase with hormonal changes lasting about five years. Menopause is the permanent cessation of menses, and postmenopause follows it. Health Promotion and Maintenance

Extract:

If a 9-month-old's immunization schedule is up to date, the next immunization that the infant should receive at 12 to 15 months of age is:


Question 4 of 5

If a 9-month-old's immunization schedule is up to date, the next immunization that the infant should receive at 12 to 15 months of age is:

Correct Answer: C

Rationale: The MMR vaccine is administered between 12 and 15 months.

Extract:


Question 5 of 5

When explaining Standard Precautions to a client, the nurse should explain that the primary purpose of Standard Precautions is to:

Correct Answer: D

Rationale: Standard Precautions aim to reduce disease transmission (e.g., via blood, body fluids) for all patients, encompassing but not limited to AIDS or nosocomial infections.

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