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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

An adult asks the nurse why she must have her skin shaved prior to surgery. What is the best nursing response? Reducing the hair by shaving:

Correct Answer: A

Rationale: Shaving reduces infection risk by removing hair, which can harbor bacteria, the primary rationale for preoperative skin preparation.

Extract:

A Registered Nurse is working in a medical unit. Due to an exceptionally busy morning, the nursing supervisor has decided to send an LPN to help out.


Question 2 of 5

As a team leader, which of the following patients will be assigned to the LPN?

Correct Answer: C

Rationale: The patient with a fractured tibia on Buck's traction is the most stable and has predictable care needs, suitable for assignment to an LPN.

Extract:


Question 3 of 5

A client receiving total parental nutrition is prescribed a 24-hour urine test. When initiating a 24-hour urine specimen, the collection time should:

Correct Answer: B

Rationale: When initiating a 24-hour urine specimen, have the client void, and then start timing. The collection should start on an empty bladder. The exact time the test starts isn't important, but it's commonly started in the morning.

Extract:

The patient has been receiving 2500 ml of IV fluid and 300 to 400 ml of oral intake daily for 2 days. The patient's urine output has been decreasing and now has been less than 40 ml per hour for the past 3 hours.


Question 4 of 5

The nurse should immediately:

Correct Answer: B

Rationale: The imbalance in intake and output, with decreasing urinary output, may indicate renal failure or fluid overload, potentially leading to congestive heart failure. Assessing breath sounds and vital signs is the first step.

Extract:


Question 5 of 5

A 9-year old is admitted with suspected rheumatic fever. Which finding is suggestive of Sydenham's chorea?

Correct Answer: A

Rationale: Sydenham's chorea, a manifestation—of rheumatic fever, causes irregular movements and facial grimacing. Other options describe rheumatoid arthritis or other conditions.

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