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Questions 227

NCLEX-PN

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Extract:

The nursing intervention that should be instituted immediately to relieve the symptoms associated with the patient's hypoglycemic reaction include:


Question 1 of 5

Giving 8 oz of fruit juice with 2 tablespoon of sugar.

Correct Answer: A

Rationale: Fruit juice with sugar provides rapid glucose to reverse hypoglycemia effectively.

Extract:


Question 2 of 5

When taking a dietary history from a newly admitted client, the nurse should remember that which of the following foods is a common allergen?

Correct Answer: D

Rationale: Common food allergens include berries, peanuts, Brazil nuts, cashews, shellfish, and eggs. Bread, carrots, and oranges rarely cause allergic reactions.

Extract:

The nurse might expect a patient with multiple sclerosis to complain about the most common initial symptom which is:


Question 3 of 5

The nurse might expect a patient with multiple sclerosis to complain about the most common initial symptom which is:

Correct Answer: D

Rationale: Visual disturbances, such as optic neuritis, are a common initial symptom of multiple sclerosis.

Extract:


Question 4 of 5

A client with newly diagnosed type I diabetes mellitus is being seen by the home health nurse. The physician orders include: 1,200-calorie ADA diet, 15 units of NPH insulin before breakfast, and check blood sugar qid. When the nurse visits the client at 5 PM, the nurse observes the man performing a blood sugar analysis. The result is 50 mg/dL. The nurse would expect the client to be

Correct Answer: A

Rationale: A blood sugar of 50 mg/dL indicates hypoglycemia (normal 70–110 mg/dL), causing symptoms like confusion, cold, clammy skin, and tachycardia (pulse 110). Hyperglycemia (
B) causes hot, dry skin and Kussmaul respirations, normal findings (
C) are unlikely, and fluid overload (
D) is unrelated.

Question 5 of 5

The family of a young adult who has been declared brain dead following an auto accident is approached by the physician about organ donation. Later they ask the nurse, 'If we donate the organs, can we still have a viewing and a regular funeral?' How should the nurse respond?

Correct Answer: A

Rationale: Organ donation surgery is performed carefully to preserve the body's appearance, allowing open-casket viewing and normal funeral proceedings, independent of accident injuries or clergy views.

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