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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

A nurse's neighbor complains of severe right flank pain. She explains that it began during the night, but she was able to take acetaminophen (Tylenol) and return to bed. When she awoke, the pain increased in intensity. How should the nurse intervene?

Correct Answer: C

Rationale: The nurse should advise the neighbor to seek medical attention. Explaining that she can't give medical advice might cause a delay in treatment. It's beyond the nurse's scope of practice to suggest that the neighbor might need surgery. Telling the neighbor she'll be fine might also delay treatment, and it isn't a professional response.

Extract:

The importance of monitoring blood sugar, activity level, and insulin doses is to


Question 2 of 5

adjust the activity level based on the blood sugar level.

Correct Answer: B

Rationale: If a patient injects too much insulin, exercises too much in relation to carbohydrate consumed, or does not eat enough or at the appropriate times, the blood glucose level can fall low enough to cause hypoglycemia. Adjusting diet and insulin doses based on activity level helps maintain balance.

Extract:


Question 3 of 5

A client's vision is to be evaluated using the Ishihara exam. The nurse recognizes that the client will be checked for:

Correct Answer: C

Rationale: The Ishihara exam tests for color blindness by assessing color perception. It does not evaluate macular degeneration, astigmatism, or glaucoma.

Extract:

Physical findings commonly seen in hypothyroidism include:


Question 4 of 5

Coarse hair, thin brittle nails

Correct Answer: A

Rationale: Coarse hair and thin brittle nails are classic signs of hypothyroidism due to decreased metabolic rate.

Extract:

The nurse understands that an acute attack of pancreatitis can be precipitated by heavy drinking because:


Question 5 of 5

The nurse understands that an acute attack of pancreatitis can be precipitated by heavy drinking because:

Correct Answer: D

Rationale: Alcohol causes enzyme backflow, leading to pancreatic autodigestion.

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