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NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

Because the client is thought to have Cushing's syndrome, the nurse should assess the client for the presence of which of the following? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Cushing's syndrome causes hyperglycemia, easy bruising, immunosuppression, and fluid retention due to excess cortisol. Hypertension, not low blood pressure, and acne are common, but pitting is not specific.

Question 2 of 5

A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse should give priority to assessing the client's:

Correct Answer: B

Rationale: Assessing the gag reflex is critical post-esophagoscopy to ensure the client can swallow safely, as local anesthesia may impair this reflex.

Extract:

Thrombus formation is a danger for all post operative patients. The nurse should act independently to prevent this complication by:


Question 3 of 5

The nurse should act independently to prevent this complication by:

Correct Answer: C

Rationale: In-bed exercises promote venous return, reducing the risk of thrombus formation.

Extract:


Question 4 of 5

Which of the following findings is most typical of a client with a fractured hip?

Correct Answer: A

Rationale: Pain in the hip and leg is the most typical symptom of a hip fracture. Diminished sensation, absent pulses, or disalignment may occur but are less common.

Question 5 of 5

The nurse is caring for a 10 year-old on admission to the burn unit. One assessment parameter that will indicate that the child has adequate fluid replacement is

Correct Answer: A

Rationale: Urinary output of 30 ml per hour. This indicates adequate fluid replacement without suggesting overload.

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