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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

Several passengers aboard an airliner suddenly become weak and suffer breathing difficulty. The diagnosis is likely to be:

Correct Answer: B

Rationale: Sudden, simultaneous symptoms in a group suggest chemical exposure, likely affecting the respiratory system. The other conditions are less likely to cause acute, collective symptoms. Safety and Infection Control

Question 2 of 5

A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?

Correct Answer: D

Rationale: Morphine can cause sphincter of Oddi spasm, worsening pancreatitis pain, and should be questioned. Meperidine is preferred, and Mylanta/cimetidine are appropriate for symptom management.

Question 3 of 5

A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:

Correct Answer: D

Rationale: Morton's neuroma is a benign mass in a digital nerve of the foot, causing pain and difficulty walking. The other conditions involve different foot pathologies. Basic Care and Comfort

Extract:

Which statement is best to document a patient's behavior in an unbiased way?


Question 4 of 5

The patient's hostility created difficulties for the nursing staff.'

Correct Answer: C

Rationale: Nursing documentation must be objective, describing specific actions without subjective judgments.

Extract:


Question 5 of 5

Which safety device is most restrictive for a client with dementia?

Correct Answer: D

Rationale: The goal of care for clients with dementia is to maintain the highest level of functioning. When restraints must be used, the least restrictive type of restraint possible should be used. A lap tray over a wheelchair severely limits the client's mobility and can cause injury if the client tries to get out of the wheelchair. A walker can be very helpful to clients with dementia as they commonly have unsteady gaits. Childproof locks are helpful in preventing accidental contact with harmful substances. An electronic monitoring system is an effective way of managing a client who wanders.

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