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Questions 227

NCLEX-PN

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Extract:

When assessing for complications of hyperparathyroidism, the nurse should monitor the patient for:


Question 1 of 5

Tetany

Correct Answer: D

Rationale: Hyperparathyroidism causes calcium release from the bones, leaving them porous and weak, leading to bone destruction.

Extract:


Question 2 of 5

The nurse is caring for a client who had a right below-the-knee amputation three days ago. The client complains of pain in the right foot and asks for pain medication. What nursing action is appropriate initially?

Correct Answer: C

Rationale: Phantom limb pain, common post-amputation, is real pain; administering ordered pain medication addresses it effectively. Elevation, placebos, or discussion are less appropriate initially.

Question 3 of 5

An 8-year-old boy has just had a fiberglass cast applied to his right lower leg following a fractured ankle. The nurse is discussing care of the cast with the parents. Which instruction should be included?

Correct Answer: B

Rationale: Checking toes for warmth ensures circulation, detecting complications like compartment syndrome early. Bathing, drying time, and leg position are incorrect for fiberglass casts.

Question 4 of 5

The Doctor writes for a medication that is in oral suspension. The order reads to administer 50 mg by mouth every 4 hours as needed for pain. You're dispended with a bottle that reads 25 mg/2 mL. How many teaspoons per dose will you administer?

Correct Answer: C

Rationale: 50 mg ÷ 25 mg/2 mL = 4 mL. 4 mL ÷ 5 mL/tsp = 0.8 tsp. Other options are incorrect conversions.

Question 5 of 5

A nurse assigned to the rural health clinic is to administer a Mantoux test to a group of factory workers. The nurse should administer the test in each client's:

Correct Answer: C

Rationale: The Mantoux test is administered intradermally in the forearm for accurate reading of the tuberculin reaction. Thigh , buttock , and upper arm are incorrect sites.

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