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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

A 38 year-old female client is admitted to the hospital with an acute exacerbation of asthma. This is her third admission for asthma in 7 months. She describes how she doesn't really like having to use her medications all the time. Which explanation by the nurse best describes the long-term consequence of uncontrolled airway inflammation?

Correct Answer: C

Rationale: Lung remodeling and permanent changes in lung function will result. Chronic inflammation causes airway edema and obstruction, leading to permanent lung damage.

Question 2 of 5

A client has just been diagnosed with breast cancer. The nurse enters the room and the client tells the nurse that she is stupid. What is the most therapeutic response by the nurse?

Correct Answer: A

Rationale: Exploring feelings with the verbally aggressive client helps to put angry feelings into words and then to engage in problem solving.

Question 3 of 5

The goals of palliative care include all of the following except:

Correct Answer: C

Rationale: Palliative care focuses on quality of life, holistic care, and support for client and family, requiring active interventions. The idea of no interventions is contrary to palliative care principles. Basic Care and Comfort

Extract:

Danielle Knetchel, 32 years old, experiences diarrhea after eating in the restaurant. She went to the clinic and the physician prescribed anti-diarrheal drug, a narcotic that causes dryness of the mouth.


Question 4 of 5

Which of the following drugs was given to Danielle?

Correct Answer: D

Rationale: Lomotil, a narcotic antidiarrheal, causes dry mouth as a side effect.

Extract:


Question 5 of 5

An adult who is undergoing diagnostic tests to diagnose a possible malignancy angrily says to the nurse, 'You don't know anything. I want someone competent caring for me.' What is the best initial nursing response?

Correct Answer: B

Rationale: Acknowledging the client's distress validates their feelings, de-escalating anger and fostering therapeutic communication.

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