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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

A client comes to the emergency department complaining of headache, malaise, chills, fever, and a stiff neck. Vital sign assessment reveals a temperature elevation, increased heart and respiratory rates, and normal blood pressure. On physical examination, the nurse notes confusion, a petechial rash, nuchal rigidity, Brudzinski's sign, and Kernig's sign. What does Brudzinski's sign indicate?

Correct Answer: D

Rationale: Brudzinski's sign indicates meningeal irritation, as in meningitis. Other signs of meningeal irritation include nuchal rigidity and Kernig's sign. Brudzinski's sign doesn't indicate increased ICP, cerebral edema, or low CSF pressure.

Question 2 of 5

The licensed practical nurse is preparing to administer an injection of vitamin K to a newborn. The nurse should administer the injection in the:

Correct Answer: B

Rationale: The vastus lateralis is the preferred site for newborn IM injections due to its large muscle mass and safety. Other sites are less developed or risk nerve damage.

Question 3 of 5

The nurse in the outpatient clinic teaches the mother of a 10-year-old boy with asthma how to prevent future asthmatic attacks. The nurse would be MOST concerned if the mother made which of the following statements?

Correct Answer: B

Rationale: Raking leaves exposes the child to inhaled allergens (pollen, dust), a primary asthma trigger, increasing attack risk. Playing the tuba (
A), after-school activities (
C), and walking (
D) are generally safe unless exercise-induced asthma is present, which is not specified.

Extract:

Symptoms of BPH are primarily seen in men:


Question 4 of 5

Age 18-25.

Correct Answer: D

Rationale: Benign prostatic hyperplasia (BPH) is more prevalent in men over 50 years of age due to age-related hormonal changes.

Extract:


Question 5 of 5

A 40-year-old client is admitted to the hospital for alcohol abuse for the third time in the past 9 months. The health care team recommends rehabilitative treatment for this client. Why was this treatment recommended?

Correct Answer: D

Rationale: The purpose of rehabilitative treatment in alcoholism is to help the client identify the relationship between his problems and his alcohol consumption. Rehabilitative treatment promotes abstinence, not limiting or controlling consumption. It isn't intended to help the client identify a new group of friends or understand the effects of alcohol on his body.

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