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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

One of the campers at summer camp sprains his ankle. What action can the nurse take to help reduce the pain?

Correct Answer: B

Rationale: Ice reduces swelling and pain in acute sprains. Exercise, dependent positioning, or steroids are inappropriate initially.

Question 2 of 5

The nurse is caring for an adult male who is diagnosed with probable appendicitis. Which assessment finding is most consistent with the diagnosis?

Correct Answer: C

Rationale: Nausea and vomiting are typically seen in persons who have appendicitis. The pain of appendicitis is in the right lower quadrant, not the right upper quadrant. The white blood cell count is elevated in the person with appendicitis. The temperature of a person with appendicitis is likely to be a low-grade fever, not a high fever.

Extract:

On the third day post partum day, a mother asks why her newborn's skin has begun to appear yellow.


Question 3 of 5

The nurse should plan to teach her that the change in skin tone is a result of:

Correct Answer: C

Rationale: Physiologic jaundice results from the breakdown of excess red blood cells in newborns.

Extract:

Which of the following nursing interventions is a priority on a newborn baby?


Question 4 of 5

Wrap the baby in a warm blanket.

Correct Answer: C

Rationale: The Apgar score assesses the newborn's immediate condition, guiding further interventions.

Extract:


Question 5 of 5

A client has developed thrombophlebitis of the left leg. Which nursing intervention should be given the highest priority?

Correct Answer: A

Rationale: Elevate the leg on 2 pillows. The first goal of nonpharmacologic interventions is to minimize edema of the affected extremity by leg elevation.

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