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Questions 227

NCLEX-PN

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Extract:

The PN assigned to Francis knows the importance of rotating insulin injection sites.


Question 1 of 5

Injection should be given in any one spot more often than every two weeks. Site rotation is important to prevent or combat which of the following complications?

Correct Answer: A

Rationale:
To avoid tissue atrophy or hypertrophy, patients should be taught to avoid injecting insulin in the same site each time. Rotating sites ensures consistent insulin absorption.

Extract:


Question 2 of 5

The nurse is caring for an adult who had a total gastrectomy last week. Because of the type of surgery, the nurse should monitor the client carefully for which of the following? Select all that apply.

Correct Answer: A,C

Rationale: Gastrectomy removes intrinsic factor-producing cells, risking pernicious anemia, and rapid gastric emptying causes dumping syndrome. Ulcerative colitis, stress ulcers, hiatal hernia, and thrombophlebitis are not directly related to gastrectomy.

Question 3 of 5

A client scheduled for a fluorescein angiography is to have mydriatic eye drops instilled in both eyes 1 hour prior to the test. The nurse knows that the purpose of the medication is:

Correct Answer: B

Rationale: Mydriatic drops dilate pupils, allowing better visualization of the retina during fluorescein angiography.

Question 4 of 5

A nurse is caring for a patient who has recently been diagnosed with fibromyalgia and COPD. Which of the following tasks should the nurse delegate to a nursing assistant?

Correct Answer: A

Rationale: Nursing assistants should be competent on all transfers.

Extract:

Forty eight to 72 hours post birth, blood test for PKU is taken on the neonate.


Question 5 of 5

This test is called

Correct Answer: B

Rationale: The Guthrie blood test reliably detects abnormal phenylalanine levels as early as 4 days of age, provided the infant is fed a milk diet.

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