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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

A client with seizure disorder is to receive Dilantin (Phenytoin) and Phenobarbital. The nurse knows that when she administers Phenobarbital and Dilantin (Phenytoin):

Correct Answer: A

Rationale: Phenytoin induces liver enzymes, potentially reducing phenobarbital levels, so a larger dose of phenobarbital may be needed.

Extract:

B.C underwent skin grafting. Vital signs are BP 124/68; HR 100 bpm; RR 24; T 37.7 °C.


Question 2 of 5

Potential complication that can be possibly developed will be:

Correct Answer: A

Rationale: Infection, such as sepsis, is a serious complication of skin grafting due to the risk of microbial invasion at the graft site.

Extract:

A young female patient comes to the physician because she has been experiencing fatigue and double vision. The physician suspects myasthenia gravis.


Question 3 of 5

When obtaining information from the patient, the nurse would expect her to report that:

Correct Answer: D

Rationale: Myasthenia gravis symptoms worsen with activity and are more severe in the evening due to muscle fatigue.

Extract:


Question 4 of 5

A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client's record, the nurse could expect to find:

Correct Answer: C

Rationale: Antisocial personality disorder is associated with a history of cruelty to animals , reflecting disregard for others. Consistent employment and remorse are unlikely. Intelligence is typically average or above.

Question 5 of 5

The nurse administered an intramuscular injection to an adult. How should the nurse dispose of the needle and syringe?

Correct Answer: A

Rationale: Immediately placing the needle and syringe in a sharps container prevents needlestick injuries. Recapping or separating risks exposure, and cutting is unsafe.

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