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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The physician has prescribed Protonix (pantoprazole) for a client with burns. The nurse recognizes that the medication will help prevent the development of:

Correct Answer: A

Rationale: Protonix (pantoprazole), a proton pump inhibitor, is prescribed to reduce gastric acid secretion and prevent stress-related mucosal damage, such as Curling's ulcer, which is common in burn patients due to stress and hypoperfusion. Answers B, C, and D are incorrect because Protonix does not directly address myoglobinuria, hyperkalemia, or paralytic ileus.

Question 2 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:

A nurse is administering a shot of Vitamin K to a 3-month-old infant.


Question 3 of 5

Which of the following target areas is the most appropriate?

Correct Answer: C

Rationale: The vastus lateralis is the most appropriate location for intramuscular injections in infants due to its large muscle mass and lack of major nerves.

Extract:


Question 4 of 5

The nurse is caring for a client with a history of heart failure who is receiving furosemide (Lasix). Which of the following laboratory values should the nurse monitor?

Correct Answer: A

Rationale: Furosemide, a loop diuretic, can cause hypokalemia, increasing the risk of arrhythmias in heart failure patients, so serum potassium must be monitored closely. Glucose (
B), cholesterol (
C), and hemoglobin (
D) are not directly affected by furosemide.

Extract:

A 55-year-old male patient was admitted with a diagnosis of BPH (benign prostatic hypertrophy).


Question 5 of 5

Which of the following herbal medications, when asked by the patient, is appropriate alternative treatment?

Correct Answer: C

Rationale: Saw palmetto is commonly used to alleviate BPH symptoms by reducing prostate inflammation.

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