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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Free Practice Questions Questions

Extract:


Question 1 of 5

A 7-year-old boy is in the hospital with Reye's syndrome. He has been ill for two weeks with the flu. He ran high fevers and was treated with four baby aspirin alternating with 325-mg chewable Tylenol and sponge baths to control the fever. He also had a rash on his body that was itchy, and his mother used lotion and Benadryl to control the itching. Besides history of the flu, which factor in his history is associated with development of Reye's syndrome?

Correct Answer: C

Rationale: Aspirin use in children with viral infections, like the flu, is strongly linked to Reye's syndrome, a rare but serious condition affecting the liver and brain.

Extract:

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


Question 2 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:

Following a successful treatment from hypothyroidism, the patient is discharged with Synthroid.


Question 3 of 5

Which of the following discharged instruction is inappropriate?

Correct Answer: D

Rationale: Synthroid is best taken in the morning to avoid insomnia, making bedtime administration inappropriate.

Extract:

A child with a croup has difficulty of breathing.


Question 4 of 5

One of the following interventions, if performed by the nurse should be a priority and most important for the patient:

Correct Answer: A

Rationale: Oxygen administration is the priority to address respiratory distress in croup, ensuring adequate oxygenation.

Extract:


Question 5 of 5

A child at school trips on a shoe lace and falls. Her ankle swells immediately, and the child is in a great deal of pain. What is the best initial action for the nurse to take?

Correct Answer: C

Rationale: Elevation and ice reduce swelling and pain in acute ankle injuries, following RICE (rest, ice, compression, elevation) principles.

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