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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 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 2 of 5

The multidisciplinary team decides to implement behavior modification with a client. Which of the following nursing actions is of primary importance during this time?

Correct Answer: A

Rationale:
To implement a behavior modification plan successfully, all staff members need to be included in program development, and time must be allowed for discussion of concerns from each nursing staff member; consistency and follow-through is important to prevent or diminish the level of manipulation by the staff or client during implementation of this program. Ensuring staff compliance promotes a unified approach, which is critical for the plan’s effectiveness.

Extract:

When a patient is unconscious, the nurse should expect the patient to be unable to:


Question 3 of 5

When a patient is unconscious, the nurse should expect the patient to be unable to:

Correct Answer: B

Rationale: Unconscious patients cannot control elimination due to loss of voluntary muscle control.

Extract:


Question 4 of 5

Which nursing action is essential when providing continuous enteral feeding?

Correct Answer: A

Rationale: Elevating the head of the bed at least 30 degrees during enteral feeding minimizes the risk of aspiration and allows the formula to flow into the client's intestines. When such elevation is contraindicated, the client should be positioned on the right side. The nurse should give enteral feedings at room temperature to minimize GI distress.
To limit microbial growth, the nurse should hang only the amount of formula that can be infused in 8 hours.

Question 5 of 5

Which clinical finding would the nurse expect to assess first in a newborn with spastic cerebral palsy?

Correct Answer: D

Rationale: Cerebral palsy is a neuromuscular impairment resulting in muscular and reflexive hypertonicity and the criss-crossing, or scissoring leg movements.

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