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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The client with a cataract has decreased vision due to:

Correct Answer: C

Rationale: Cataracts result from crystalline protein deposits on the lens, causing opacity and vision loss. Other options affect different eye structures.

Question 2 of 5

A client arrived in the USA from a developing country 1 week ago. The client is to be admitted to the medical surgical unit with a diagnosis of AIDS. There is a history of these findings: unintended weight loss, drug abuse, night sweats, productive cough, and a 'feeling of being hot all the time.' The nurse should assign the client to share a room with a client with the diagnosis of

Correct Answer: A

Rationale: Acute tuberculosis with a productive cough of discolored sputum for over three months. The client being admitted has the classic findings of pulmonary tuberculosis. Of the available choices, the client in option A would be the most appropriate roommate. It is acceptable to put clients with similar diagnoses in the same room when no other alternative exists. Clients are considered contagious until the cough is eliminated with medications, which initially is a combination of 4 simultaneous drugs.

Extract:

Hypophonia:


Question 3 of 5

Hypophonia:

Correct Answer: A

Rationale: Hypophonia is reduced speech volume, often seen in Parkinson's disease.

Extract:


Question 4 of 5

The nurse is assessing a client with suspected appendicitis. Which of the following findings would support this diagnosis?

Correct Answer: A

Rationale: Pain at McBurney’s point (right lower quadrant) is a classic sign of appendicitis, indicating peritoneal irritation. Epigastric burning (
B) suggests ulcers, loose stools (
C) indicate gastroenteritis, and pain relief lying flat (
D) is nonspecific.

Question 5 of 5

The multidisciplinary team decides to implement behavior modification with a client. Which of the following nursing actions is of primary importance during this time?

Correct Answer: A

Rationale:
To implement a behavior modification plan successfully, all staff members need to be included in program development, and time must be allowed for discussion of concerns from each nursing staff member; consistency and follow-through is important to prevent or diminish the level of manipulation by the staff or client during implementation of this program. Ensuring staff compliance promotes a unified approach, which is critical for the plan’s effectiveness.

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