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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

An adult is receiving total parenteral nutrition (TPN). Which assessment is essential for the nurse to make?

Correct Answer: D

Rationale: Daily weights monitor fluid balance and nutritional status, critical for TPN to prevent overload or malnutrition. TPN is intravenous, not gastric, and bowel movements/sounds are less relevant.

Question 2 of 5

The client tells the nurse he has trigeminal neuralgia. What would the nurse expect in the client's history?

Correct Answer: B

Rationale: Trigeminal neuralgia causes severe facial pain, often triggered by stimuli like cold air, unlike lead exposure, ambulation issues, or leg pain.

Extract:

Mrs. A is a 40-year-old woman who reports menstrual irregularities and believes she is experiencing an early menopause. She reports feeling fatigue and restless at times. Physical findings reveal a thin woman with fine hair, moist, warm skin, and a goiter with bruit present. Heart rate is 110; BP 140/80.


Question 3 of 5

These findings are consistent with:

Correct Answer: B

Rationale: Symptoms and findings like goiter, tachycardia, and moist skin indicate Grave's disease (hyperthyroidism).

Extract:


Question 4 of 5

The nurse is assessing an elderly client. When performing the assessment, the nurse should consider that one normal age-related change is:

Correct Answer: C

Rationale: Degenerative changes can lead to decreased reflexes, which is a normal result of aging. Cloudy vision, incontinence, and tremors may be signs and symptoms of underlying pathology and shouldn't be considered normal results of aging.

Extract:

Congenital hip dysplasia is suspected when the assessment data indicates which of the following in the newborn?


Question 5 of 5

Presence of Ortalani's click

Correct Answer: A

Rationale: The presence of Ortalani's click when legs are abducted and asymmetry of gluteal folds are signs of congenital hip dysplasia.

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