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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

All of the following adults are admitted to the surgical unit. Which client should the nurse prepare for immediate surgery?

Correct Answer: C

Rationale: Severe right lower quadrant pain with elevated WBC suggests appendicitis, requiring immediate surgery to prevent rupture. Scapular pain (gallbladder), vaginal bleeding, or hernia are less urgent unless complicated.

Question 2 of 5

The parents of a school-age child who has sickle cell anemia are discussing recreational activities for their child. Which comment indicates that the parents understand the child's needs?

Correct Answer: D

Rationale: Frequent hydration prevents dehydration, a trigger for sickle cell crisis, showing parental understanding. High-impact sports like soccer or track risk overexertion or injury.

Question 3 of 5

A practical nurse (PN) from the pediatric unit is assigned to work in a critical care unit. Which client assignment would be appropriate?

Correct Answer: D

Rationale: This client is the most stable with a predictable outcome.

Extract:

A nurse picks up an order for an asthmatic child. The order reads: Propranolol (Inderal) 80 mg. PO QD.


Question 4 of 5

The nurse reads this order as

Correct Answer: B

Rationale: Propranolol, a beta-blocker, is contraindicated in asthma due to risk of bronchoconstriction.

Extract:

A 14-year-old patient with a diagnosis of gonorrhea requested you not to tell her parents about the disease.


Question 5 of 5

How will you respond?

Correct Answer: B

Rationale: Confidentiality is maintained for minors in sensitive diagnoses like STIs, unless there's a legal requirement to disclose.

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