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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

A 57-year-old woman is recently widowed. She states, 'I will never be able to learn how to manage the finances. My husband did all of that.' Select the nurse's response that could help raise the client's self-esteem.

Correct Answer: C

Rationale: Affirming the client's strength and ability to learn builds self-esteem and encourages confidence. The other responses are either critical or directive, potentially lowering self-esteem. Psychosocial Integrity

Question 2 of 5

A mother brings her two-year-old boy to the pediatrician's office. Which of the following symptoms would suggest to the nurse that the child has strabismus?

Correct Answer: C

Rationale: Strabismus is characterized by misaligned eyes, causing the brain to receive two images. Closing one eye to focus (as in choice
C) is a compensatory behavior to avoid double vision.

Choices A and B suggest refractive errors, and choice D indicates cataracts or peripheral vision issues.

Extract:

To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:


Question 3 of 5

To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:

Correct Answer: B

Rationale: Coughing and deep breathing promote lung expansion and secretion clearance post-chest drainage.

Extract:


Question 4 of 5

Which finding in a neonate suggests hypothermia?

Correct Answer: A

Rationale: Neonates who are hypothermic typically develop bradycardia. Hypoglycemia, not hyperglycemia, and metabolic acidosis, not metabolic alkalosis, are also seen in neonates with hypothermia. Neonates typically don't shiver.

Question 5 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.

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