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:

Mr. Lou, 65 years old, with liver cirrhosis was ordered neomycin enema


Question 1 of 5

Mr. Lou, 65 years old, with liver cirrhosis was ordered neomycin enema for which of the following goals?

Correct Answer: B

Rationale: Neomycin enemas reduce ammonia-producing bacteria, improving consciousness in hepatic encephalopathy.

Extract:

Which of the following shouldn't be considered when assessing an elderly patient?


Question 2 of 5

Which of the following shouldn't be considered when assessing an elderly patient?

Correct Answer: C

Rationale: Assuming all elderly patients need loud speech stereotypes and may miss nuanced hearing issues.

Extract:

An elderly female patient sustained a fractured hip from a fall accident while taking her shower. She was brought by the EMS to the hospital and was admitted to orthopedic unit. She was placed on buck's traction while waiting for hip replacement.


Question 3 of 5

Which of the following nursing interventions should receive priority?

Correct Answer: B

Rationale: Hourly neurovascular assessments are critical to detect complications like impaired circulation or nerve damage in the affected leg, especially with traction.

Extract:


Question 4 of 5

A parent asks the nurse about a 6 year-old child's apparent need for punishment following a series of misbehaviors. The child was diagnosed with rheumatic fever a few weeks ago. Which response is most appropriate?

Correct Answer: D

Rationale: A major manifestation of rheumatic fever that reflects central nervous system involvement is chorea. Early symptoms of chorea include behavior changes and clumsiness. Chorea is characterized by sudden, aimless, irregular movements of the extremities, involuntary facial grimaces, speech disturbances, emotional lability, and muscle weakness.

Extract:

After 1 minute after birth, the nurse notes that an infant is crying, has a heart rate of 140, has acrocyanosis, resists the suction catheter, and keeps arms extended.


Question 5 of 5

The nurse should assign this infant an Apgar score of:

Correct Answer: C

Rationale: Crying (2), HR 140 (2), acrocyanosis (1), resists suction (2), extended arms (1) yield an Apgar of 8.

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