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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free NCLEX-PN Practice Questions Questions

Extract:


Question 1 of 5

Ashley and her boyfriend Chris, both 19 years old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating. The nurse should assess Ashley's level of anxiety as:

Correct Answer: C

Rationale: Ashley's symptoms, including confusion, dizziness, nausea, rapid pulse, and hyperventilation, indicate severe anxiety, characterized by somatic symptoms and impaired problem-solving. Mild or moderate anxiety would present with less intense symptoms, and panic would involve loss of reality. Psychosocial Integrity

Extract:

Seven days post above-the-knee amputation (AKA)


Question 2 of 5

Recommended activity for the patient would include:

Correct Answer: C

Rationale: Sitting up in a chair promotes mobility and prevents complications like pressure ulcers.

Extract:

Polyuria:


Question 3 of 5

Polyuria:

Correct Answer: B

Rationale: Polyuria is excessive or frequent urination, often seen in diabetes.

Extract:

Which of the following is the appropriate narcotic-analgesic ordered to provide pain relief on the patient with pancreatitis?


Question 4 of 5

Codeine 30 mgs.

Correct Answer: C

Rationale: Demerol is preferred for pancreatitis to avoid morphine's effect on the sphincter of Oddi.

Extract:


Question 5 of 5

A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin. The nurse should base her reply on the knowledge that:

Correct Answer: A

Rationale:
Tolerance, requiring higher doses for the same effect, is common with long-term opioid use and does not equate to addiction. Addiction involves psychological dependence, not described here. Psychosocial Integrity

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