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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

A client, age 21, is admitted with bacterial meningitis. Which hospital room would be the appropriate choice for this client?

Correct Answer: B

Rationale: A client with bacterial meningitis should be kept in isolation for at least 24 hours after admission and, during the initial acute phase, should be as close to the nurses' station as possible to allow maximal observation. Placing the client in a room with a client who has viral meningitis may cause harm to both clients because the organisms causing viral and bacterial meningitis differ; either client may contract the other's disease. Immunity to bacterial meningitis can't be acquired; therefore, a client who previously had bacterial meningitis shouldn't be put at risk by rooming with a client who has just been diagnosed with this disease.

Extract:

For proper foot care, the nurse should provide a patient with non-insulin dependent mellitus with instructions to:


Question 2 of 5

For proper foot care, the nurse should provide a patient with non-insulin dependent mellitus with instructions to:

Correct Answer: B

Rationale: Wearing shoes and natural fiber socks protects diabetic feet and promotes circulation.

Extract:

A male patient with thrombophlebitis is apprehensive about the possibility of a clot reaching his heart, causing sudden death.


Question 3 of 5

The nurse's initial intervention should be to:

Correct Answer: A

Rationale: Clarifying that thrombophlebitis clots rarely reach the heart addresses the patient's fear directly.

Extract:


Question 4 of 5

A client on warfarin therapy following coronary artery stent placement calls the clinic to ask if he can take Alka-Seltzer for an upset stomach. What is the best response by the nurse?

Correct Answer: A

Rationale: Avoid Alka-Seltzer because it contains aspirin. Alka-Seltzer is an over-the-counter aspirin-antacid combination. Aspirin, an antiplatelet drug, will potentiate the anticoagulant effect of warfarin, which may result in excess bleeding.

Question 5 of 5

An adult is admitted to the psychiatric unit with a severe phobia. She develops severe anxiety when she crosses any type of bridge. She can no longer go to work or go shopping at the mall. The day after admission, she develops a panic attack and refuses to go to occupational therapy because she has to cross a bridge-like structure to go from one area of the hospital to another. How should the nurse respond to this situation?

Correct Answer: C

Rationale: Using an alternate route avoids triggering the phobia, allowing participation in therapy while respecting her current anxiety level.

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