NCLEX Questions, NCLEX Trainer Test 7 Questions, NCLEX-PN Questions, Nurselytic

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Question 1 of 5

A diagnosis of pernicious anemia is made by:

Correct Answer: D

Rationale: The Schilling test diagnoses pernicious anemia by assessing vitamin B12 absorption. Bone marrow aspiration, quantitative assays, or the Weber test (hearing) are not specific to this condition.

Question 2 of 5

A client with schizophrenia is receiving haloperidol (Haldol) 5 mg T.I.D. The client's family is alarmed and calls the clinic when 'his eyes rolled upward.' The nurse recognizes this as what type of side effect?

Correct Answer: A

Rationale: Oculogyric crisis. This refers to involuntary muscle spasm of the eye, a known side effect of haloperidol.

Question 3 of 5

Immediately after surgery the client with an above-the-knee amputation of the right leg refuses to look at the operative site. The most immediate diagnosis that can be made is:

Correct Answer: C

Rationale: Refusing to look at the operative site suggests a disturbance in self-concept, as the client may be struggling with acceptance of the altered body image post-amputation.

Question 4 of 5

The nurse is teaching parents about the appropriate diet for a 4 month-old infant with gastroenteritis and mild dehydration. In addition to oral rehydration fluids, the diet should include

Correct Answer: A

Rationale: The usual diet for a young infant should be followed.

Question 5 of 5

The nurse is caring for a client with a history of myasthenia gravis.

Correct Answer: B

Rationale: Avoiding crowds reduces infection risk, critical in myasthenia gravis due to immunosuppressive therapy. Pyridostigmine is taken with food, activity is encouraged, and blood pressure monitoring is not primary.

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