NCLEX Questions, NCLEX-PN Practice Questions Free Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:

Which of the following symptoms listed below would indicate laryngeal nerve injury following thyroidectomy?


Question 1 of 5

Hoarseness.

Correct Answer: A

Rationale: Hoarseness is a sign of laryngeal nerve damage, which can occur during thyroid surgery.

Extract:


Question 2 of 5

The physician prescribes penicillin potassium oral suspension 56 mg/kg/day in four divided doses for a client with anorexia nervosa who weighs 25 kg. The medication dispensed by the pharmacy contains a dosage strength of 125 mg/5 ml. How many milliliters of solution should the nurse administer with each dose?

Correct Answer: A

Rationale:
To determine the total daily dosage, set up the following proportion: 25 kg/X = 1 kg/56 mg, X = 1,400 mg. Next, divide the daily dosage by four doses to determine the dose to administer every 6 hours: X = 1,400 mg/4 doses, X = 350 mg/dose. The adolescent should receive 350 mg every 6 hours. Lastly, calculate the volume to give for each dose by setting up this proportion: X/350 mg = 5 ml/125 mg, X = 14 ml.

Extract:

One of the following is not a symptom of the patient with right sided heart failure:


Question 3 of 5

Weight gain

Correct Answer: C

Rationale: Right-sided heart failure causes jugular vein distension, not flattened neck veins.

Extract:


Question 4 of 5

The major electrolytes in the extracellular fluid are:

Correct Answer: C

Rationale: Sodium and chloride are the major electrolytes in the extracellular fluid, maintaining fluid balance and nerve function. The other options include electrolytes more prevalent in intracellular fluid or less dominant in extracellular fluid. Physiological Adaptation

Extract:

The nurse documents and performs which of the following when the patient refuses his medication?


Question 5 of 5

Kardex; physician.

Correct Answer: C

Rationale: Documenting in the medication record and progress notes, and informing the physician, ensures accurate communication.

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