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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

For a client with suspected appendicitis, the nurse should expect to find abdominal tenderness in which quadrant?

Correct Answer: C

Rationale: Appendicitis typically causes tenderness in the lower-right quadrant (McBurney's point) due to the appendix's anatomical location. Physiological Adaptation

Extract:

The maximum safe height at which the container of fluid can be held when administering an enema is:


Question 2 of 5

The maximum safe height at which the container of fluid can be held when administering an enema is:

Correct Answer: C

Rationale: 45 cm (18 inches) ensures safe pressure to avoid bowel injury during an enema.

Extract:

Physical findings commonly seen in hypothyroidism include:


Question 3 of 5

Physical findings commonly seen in hypothyroidism include:

Correct Answer: A

Rationale: Coarse hair and brittle nails are typical in hypothyroidism due to slowed metabolism.

Extract:

The patient is receiving Lasix. The doctor made his round this morning and ordered ampicillin medication. The patient is to receive 3 grams of ampicillin per day. The ampicillin available stock is 500 mg/capsule.


Question 4 of 5

How many capsules would you administer to the patient?

Correct Answer: A

Rationale: 3 grams = 3000 mg; 3000 mg ÷ 500 mg/capsule = 6 capsules daily.

Extract:

A patient with a tentative diagnosis of cholecystitis is discharged from the emergency room with instructions to make an appointment for a more definitive diagnosis workup.


Question 5 of 5

The recommendation that would produce the most valuable diagnostic information would be:

Correct Answer: A

Rationale: A pain journal helps identify triggers and patterns, aiding cholecystitis diagnosis.

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