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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

A non-English-speaking Hispanic client is admitted to the hospital to rule out myocardial infarction. The nurse performs a cultural assessment. Which information should be included? Select all that apply.

Correct Answer: A,C,E,F

Rationale: Food preferences, primary language, religion, and pain status are relevant for culturally sensitive care and effective communication.

Question 2 of 5

A client with a history of pancreatitis reports severe abdominal pain. Which position should the nurse encourage?

Correct Answer: B

Rationale: Side-lying with knees flexed reduces tension on the pancreas, alleviating pain.

Question 3 of 5

The nurse is assessing a postmenopausal woman for evidence of heart disease- Which factor contributes to the client's increased risk for heart disease after menopause?

Correct Answer: A

Rationale: A. Estrogen has a positive and protective effect on the function of the heart and blood vessels. B. Menopause is not known to cause a specific food craving. C. Progesterone, which decreases with menopause, is more linked to weight gain. D. Continued exercise and activity in menopause positively affects a woman's health.

Question 4 of 5

The nurse is caring for the client who is angry about a new diagnosis of gonorrhea. The client informs the nurse, "I absolutely will not allow the release of this information to anyone." Which response by the nurse is most appropriate?

Correct Answer: A

Rationale: A. Being diagnosed with an STI can cause emotional distress. This response acknowledges the client's reaction and provides the opportunity to clarify the statement's meaning. B. Although gonorrhea is reportable, this response is a closed statement and does not allow the opportunity for the client to express feelings. C. The nurse is making an assumption about the client's spouse. D. Although this response does acknowledge the client's reaction, the last portion becomes judgmental and places the emphasis on the nurse's feelings.

Question 5 of 5

A client with a history of epilepsy is prescribed phenytoin (Dilantin). Which instruction should the nurse include?

Correct Answer: A

Rationale: Phenytoin can cause gingival hyperplasia; regular oral hygiene reduces this risk.

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