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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:

John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.


Question 1 of 5

The level of the water in the water-seal chamber is at

Correct Answer: A

Rationale: The water-seal chamber is maintained at 2 cm to prevent air entry.

Extract:

The nurse is teaching a client and family about phenelzine (Nardil).


Question 2 of 5

Which of the following foods would the nurse urge the client to avoid?

Correct Answer: C

Rationale: Cheese is one of the foods that may cause a hypertensive crisis when taken with Nardil, a monoamine oxidase inhibitor (MAOI).

Extract:


Question 3 of 5

An infant had a repair of a myelomeningocele two days ago. Which assessment is most important to detect a problem commonly seen following myelomeningocele repair?

Correct Answer: D

Rationale: Hydrocephalus is a common complication post-myelomeningocele repair due to altered cerebrospinal fluid flow; measuring head circumference detects this by identifying increased intracranial pressure.

Question 4 of 5

A 4-year-old child with Down syndrome is admitted to the hospital with pneumonia. She has a heart murmur and appears to be in respiratory distress. Her mother asks why her child has a heart murmur. What is the best nursing response?

Correct Answer: D

Rationale: Congenital heart defects, like ventricular septal defects, are common in Down syndrome, and pneumonia may amplify a murmur due to increased cardiac workload.

Question 5 of 5

As a client progresses through pregnancy, she develops constipation. What is the primary cause of this problem during pregnancy?

Correct Answer: D

Rationale: During pregnancy, hormonal changes and mechanical pressure reduce motility in the small intestine, enhancing water absorption and promoting constipation. Although decreased appetite, inadequate fluid intake, and prolonged gastric emptying may contribute to constipation, they aren't the primary cause.

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