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Questions 227

NCLEX-PN

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Extract:

Physical findings commonly seen in hypothyroidism include:


Question 1 of 5

Physical findings commonly seen in hypothyroidism include:

Correct Answer: A

Rationale: Coarse hair and brittle nails are typical in hypothyroidism due to slowed metabolism.

Extract:


Question 2 of 5

The nurse is talking with a client. The client abruptly says to the nurse, 'The moon is full. Astronauts walk on the moon. Walking is a good health habit.' The client's remarks most likely indicate

Correct Answer: C

Rationale: Loose associations. The client's statements are loosely connected by related words, indicating disorganized thought.

Question 3 of 5

The nurse is caring for a postcholecystectomy client who had the T-tube removed this AM. Two hours after removal of the T-tube, the nurse notes that the 4x4 dressing covering the stab site is saturated with dark, greenish-yellow drainage. It is MOST appropriate for the nurse to take which of the following actions?

Correct Answer: A

Rationale: Dark, greenish-yellow drainage is expected bile post-T-tube removal, and a saturated dressing indicates ongoing drainage until the wound seals. Replacing with a more absorbent dressing keeps the site clean and dry, preventing infection. Culturing (
B) is unnecessary without infection signs, dehiscence (
C) is unlikely, and reinforcing (
D) risks infection.

Question 4 of 5

The nurse planning care for a 12 year-old child with sickle cell disease in a vaso-occlusive crisis of the elbow should include which one of the following as a priority?

Correct Answer: B

Rationale: Management of a sickle cell crisis is directed towards supportive and symptomatic treatment. The priority of care is pain relief. In a 12 year-old child, client controlled analgesia promotes maximum comfort.

Question 5 of 5

While installing electrical wiring in the intensive care unit, the workmen start an electrical fire. The nurse's first action when caring for a ventilator-dependent client should be to:

Correct Answer: C

Rationale: Removing the ventilator-dependent client with an Ambu bag ensures safety from the fire. Extinguishing, notifying, or activating the alarm are secondary.

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