NCLEX Questions, Free NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

A victim of domestic violence states, 'If I were better, I would not have been beat.' Which feeling best describes what the victim may be experiencing?

Correct Answer: C

Rationale: Self-blame. Victims often internalize blame, believing their behavior causes the abuse, which is a common misconception.

Question 2 of 5

A client with ulcerative colitis is taking Azulfidine (Sulfasalazine). Which of the following instructions should be included in the nurse's teaching?

Correct Answer: C

Rationale: Azulfidine is a maintenance medication for ulcerative colitis, and clients should continue taking it even during remission to prevent flare-ups.

Question 3 of 5

The physician has ordered thiamine 100 mg IM for a client with chronic alcoholism. The primary reason for giving thiamine is:

Correct Answer: C

Rationale: Thiamine is given to treat or prevent neurological symptoms, such as Wernicke's encephalopathy, caused by thiamine deficiency in chronic alcoholism.

Extract:

Antoinette is 47-year-old woman with history of hypertension presented to ER with complain of sudden pain in her heel. Her lifestyle is sedentary and denies history of trauma or rigorous physical exertion. On admission assessment, spontaneous rupture of the Achilles tendon was diagnosed and treatment was initiated. Few weeks following her ER visit, Antoinette sought the help of a family physician for prescription of pain medication. Her physical assessment showed central obesity, thin musculature, and abdominal striae. Cushing's syndrome was suspected. Further endocrine assessment showed clinical features typical of Cushing's syndrome, which had been present for at least four years.


Question 4 of 5

The PN who performs the admission assessment on Antoinette would expect to observe which of the following?

Correct Answer: A

Rationale: Excessive hair growth in the woman's face and extremities is caused by excessive glucocorticoid hormones, a hallmark of Cushing's syndrome.

Extract:


Question 5 of 5

A 6 year-old child diagnosed with acute glomerulonephritis (AGN) is experiencing anorexia, moderate edema and elevated blood urea nitrogen (BUN) levels. The child requests a peanut butter sandwich for lunch. What would the nurse's best response to this request?

Correct Answer: C

Rationale: Children with AGN who have edema, hypertension oliguria and azotemia may have dietary restrictions limiting sodium, fluids, protein and potassium. Giving the child a short explanation and offering to talk about an alternative is appropriate for this age.

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