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NCLEX-PN

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Extract:

After the patient has refused the medication, the next step taken by the nurse will be:


Question 1 of 5

Document the patient's refusal.

Correct Answer: B

Rationale: Exploring the reason for refusal helps address concerns and promote adherence.

Extract:


Question 2 of 5

A patient with post-traumatic stress disorder (PTSD) is experiencing flashbacks. Which of the following interventions should the nurse implement?

Correct Answer: B

Rationale: A safe, calm environment reduces flashback intensity and promotes grounding. Avoiding discussion delays therapy, trigger exposure requires controlled settings, and isolation worsens symptoms.

Question 3 of 5

The nurse is evaluating the growth and development of a toddler with AIDS. The nurse would anticipate finding that the child has

Correct Answer: D

Rationale: Delay in achievement of most developmental milestones. The majority of children with AIDS have neurological involvement, leading to developmental delays and potential loss of milestones.

Question 4 of 5

The nurse is caring for a client with a history of breast cancer who is receiving chemotherapy. Which of the following side effects should the nurse monitor for?

Correct Answer: C

Rationale: Nausea and vomiting are common chemotherapy side effects due to gastrointestinal irritation and require monitoring for dehydration or malnutrition. Increased appetite (
A) and energy (
D) are unlikely, and white blood cell count (
B) typically decreases (neutropenia).

Question 5 of 5

The nurse is caring for a person admitted with myasthenia gravis. What should be included in the nursing care plan for this person?

Correct Answer: B

Rationale: Myasthenia gravis causes muscle weakness, increasing aspiration risk; checking swallowing reflexes ensures safe feeding. Other actions are irrelevant.

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