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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free PN NCLEX Practice Questions Questions

Extract:

Homonymous hemianopsia:


Question 1 of 5

Homonymous hemianopsia:

Correct Answer: A

Rationale: Homonymous hemianopsia involves loss of half the visual field in both eyes, same side.

Extract:


Question 2 of 5

A school-age child with terminal leukemia is admitted to the pediatric unit. The nurse must discuss advance directives with the child's parents. The nurse should include which information?

Correct Answer: C

Rationale: The nurse shouldn't give a positive appraisal of the child's prognosis because doing so gives the parents false hope. The nurse must be honest about the child's prognosis and provide them accurate information about treatment options, which include palliative care, comfort care, and pain management. The physician - not the nurse - should discuss such treatment options as chemotherapy or bone marrow transplantation, if indicated.

Extract:

When a patient return from the recovery room following a subtotal thyroidectomy, the nurse should immediately


Question 3 of 5

inspect the incision.

Correct Answer: D

Rationale: Thyroid surgery sometimes results in accidental removal of the parathyroid glands. A resultant hypocalcemia may lead to contraction of the glottis, causing airway obstruction; edema also causes obstruction. Having a tracheostomy set ready is critical.

Extract:


Question 4 of 5

An 82-year-old woman who has Alzheimer's disease is admitted to the acute care unit. She frequently gets out of bed and wanders in the hall, unable to find her way back to her room. She even gets in the beds of other clients. What nursing action is most appropriate for this client?

Correct Answer: D

Rationale: A familiar picture on the door helps the Alzheimer's client recognize her room, reducing wandering safely. Restraints, roommate monitoring, or punishment are inappropriate or ineffective.

Question 5 of 5

A client with which of the following conditions is at risk for developing a high ammonia level?

Correct Answer: D

Rationale: Cirrhosis impairs the liver's ability to metabolize ammonia, leading to elevated levels and risk of hepatic encephalopathy. The other conditions do not directly affect ammonia levels. Reduction of Risk Potential

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