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Questions 227

NCLEX-PN

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Extract:

On the second day of surgery, the mother reported fever and rapid respirations on her child. The child's temperature was 39°C.


Question 1 of 5

The first action taken by the nurse should be to

Correct Answer: A

Rationale: Fever and rapid respirations post-surgery may indicate infection or complications, requiring immediate physician notification.

Extract:


Question 2 of 5

Which of the following observations best indicates to the nurse that a paraplegic client can adequately carry out activities of daily living at home after discharge?

Correct Answer: B

Rationale: Transferring into and out of a wheelchair is essential for a paraplegic to perform ADLs independently, as it enables mobility and access to other tasks. Shaving and brushing teeth (
A) and maneuvering the wheelchair (
C) are less critical, and meal preparation (
D) is not directly hindered by paraplegia.

Extract:

Health teachings on foods rich in folic acid on a pregnant mother to prevent complications on a growing fetus is under:


Question 3 of 5

Health teachings on foods rich in folic acid on a pregnant mother to prevent complications on a growing fetus is under:

Correct Answer: B

Rationale: Folic acid education is primary prevention, reducing the risk of neural tube defects.

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.

Extract:

Liang Tam, 68 years old, was admitted to the hospital with GI bleeding. She arrived to USA from China, as landed immigrant, 3 months ago. Chin speaks Mandarin and little English. Her daughter, Linda Min, speaks fluent English.


Question 5 of 5

To whom will the registered nurse, during the admission interview, collects the information from?

Correct Answer: B

Rationale: An interpreter ensures accurate communication with the patient, respecting her autonomy.

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