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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

An adult who has Bell's palsy says to the nurse, 'Will I always look this weird?' How should the nurse reply?

Correct Answer: B

Rationale: Bell's palsy often resolves completely within weeks to months, so reassuring the client of potential full recovery is accurate and supportive.

Question 2 of 5

Which of these principles should the nurse apply when performing a nutritional assessment on a 2 year-old client?

Correct Answer: C

Rationale: A serving size at this age is about 2 tablespoons. A general guide is 1 tablespoon of solid food per year of age.

Question 3 of 5

An agitated, confused client arrives in the emergency department. The client's history includes type 1 diabetes, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the nurse teaches the client to treat hypoglycemia by ingesting:

Correct Answer: B

Rationale:
To reverse hypoglycemia, the American Diabetes Association recommends ingesting 10 to 15 g of a simple carbohydrate, such as three to five pieces of hard candy, two to three packets of sugar (4 to 6 tsp), or 4 oz of fruit juice. If necessary, this treatment can be repeated in 15 minutes. Ingesting only 2 to 5 g of a simple carbohydrate may not raise the blood glucose level sufficiently. Ingesting more than 15 g may raise it above normal, causing hyperglycemia.

Question 4 of 5

An adult has returned to the nursing care unit following abdominal surgery. She has an order for meperidine IM PRN for severe pain or acetaminophen #3 PO PRN for mild to moderate pain. The nurse asks the client if she is experiencing pain now, and she states, 'Yes, I am.' What is the most appropriate initial action for the nurse?

Correct Answer: C

Rationale: Assessing pain location and degree using a scale determines the appropriate medication (mild vs. severe), ensuring tailored pain management.

Extract:

Rosemarie is 24 years old, G1P0, admitted with a diagnosis of Multiple Sclerosis.


Question 5 of 5

The nurse observes indications of positive response from treatments and signs that the patient is recovering from the disease by which of the following assessment data?

Correct Answer: D

Rationale: Multiple Sclerosis temporarily affects both sensory and motor functions. Being able to walk with a stable gait is a sign that the motor function is returning to normal.

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