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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

Extract:

A 20-year-old female attending college is found unconscious in her dorm room. She has a fever and a noticeable rash.


Question 2 of 5

Which of the following tests is most likely to be performed first?

Correct Answer: C

Rationale: Fever and rash with unconsciousness suggest infection, making blood cultures the priority to identify the cause.

Extract:


Question 3 of 5

The nurse is caring for an adult who had a transsphenoidal hypophysectomy earlier today. The client is now on the surgical unit after an uneventful stay in the postanesthesia care unit. How should the nurse position the client?

Correct Answer: C

Rationale: Semi-reclining reduces intracranial pressure and prevents cerebrospinal fluid leakage post-transsphenoidal hypophysectomy. Supine increases leakage risk, and upright or side-lying are less optimal.

Question 4 of 5

A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months. The nurse should assess the woman for other symptoms of:

Correct Answer: C

Rationale: Irregular menses in a middle-aged woman suggests perimenopause, a transitional phase with hormonal changes lasting about five years. Menopause is the permanent cessation of menses, and postmenopause follows it. Health Promotion and Maintenance

Extract:

The PN may appropriately delegate which of the following to the nursing assistant?


Question 5 of 5

Take the patient's vital signs before starting a blood transfusion.

Correct Answer: A

Rationale: Taking vital signs is within the nursing assistant's scope, unlike central line care, suctioning, or assessing chest pain.

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