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Questions 227

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NCLEX-PN Test Bank

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Extract:


Question 1 of 5

Signs of impaired breathing in infants and children include all of the following except:

Correct Answer: D

Rationale: Nasal flaring, grunting, and seesaw breathing are signs of respiratory distress in infants and children. Quivering lips are not a recognized indicator of impaired breathing. Physiological Adaptation

Question 2 of 5

The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about energy conservation. Which of the following strategies should the nurse recommend?

Correct Answer: B

Rationale: Using a shower chair conserves energy by reducing exertion during bathing, a taxing activity for COPD patients. Morning activity (
A) may not suit all, pursed-lip breathing (
C) aids respiration, and quick walking (
D) increases oxygen demand.

Question 3 of 5

The nurse is caring for a client receiving total parenteral nutrition (TPN). Which of the following findings would indicate a complication of TPN therapy?

Correct Answer: B

Rationale: A blood glucose level of 200 mg/dL indicates hyperglycemia, a common TPN complication due to high dextrose content, requiring insulin adjustment or rate change. Weight gain (
A) is expected, low-grade fever (
C) is nonspecific, and normal urine output (
D) is unremarkable.

Question 4 of 5

The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephrotic syndrome. The nurse should:

Correct Answer: A

Rationale: Cyclophosphamide is nephrotoxic; extra fluids promote excretion and reduce bladder toxicity. Low-protein diets are not indicated, mild soap is unrelated, and joints are not typically inflamed in nephrotic syndrome.

Extract:

A 35-year-old male has been an insulin-dependent diabetic for five years and now is unable to urinate.


Question 5 of 5

Which of the following would you most likely suspect?

Correct Answer: C

Rationale: Autonomic neuropathy can impair bladder function, causing urinary retention in long-term diabetes.

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