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Questions 227

NCLEX-PN

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Extract:

A patient with complaints of loss of peripheral vision


Question 1 of 5

A patient with complaints of loss of peripheral vision is suspected to have

Correct Answer: C

Rationale: Glaucoma causes peripheral vision loss due to increased intraocular pressure.

Extract:


Question 2 of 5

The nurse is caring for an adult who had a transsphenoidal hypophysectomy earlier today. The client is now on the surgical unit after an uneventful stay in the postanesthesia care unit. How should the nurse position the client?

Correct Answer: C

Rationale: Semi-reclining reduces intracranial pressure and prevents cerebrospinal fluid leakage post-transsphenoidal hypophysectomy. Supine increases leakage risk, and upright or side-lying are less optimal.

Question 3 of 5

The nurse is having difficulty reading the health care provider's written order that was left just before the shift change. What action should be taken?

Correct Answer: D

Rationale: Relying on anyone else's interpretation is very risky. When in doubt, check it out with the person who wrote the difficult-to-read order.

Question 4 of 5

A 40-year-old woman is admitted in labor with high blood pressure, edema, and proteinuria. She is started on magnesium sulfate. The nurse caring for her should be sure to keep which drug at the bedside?

Correct Answer: A

Rationale: Magnesium sulfate, used for preeclampsia, can cause toxicity; calcium gluconate is the antidote, reversing respiratory depression or cardiac effects, and must be readily available.

Question 5 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.

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