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Questions 227

NCLEX-PN

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Extract:

The most sensitive and easily quantifiable measure of circulatory status in a child is


Question 1 of 5

The most sensitive and easily quantifiable measure of circulatory status in a child is

Correct Answer: C

Rationale: Capillary refill time is a quick, sensitive indicator of perfusion in children.

Extract:


Question 2 of 5

The nurse planning care for a 12 year-old child with sickle cell disease in a vaso-occlusive crisis of the elbow should include which one of the following as a priority?

Correct Answer: B

Rationale: Management of a sickle cell crisis is directed towards supportive and symptomatic treatment. The priority of care is pain relief. In a 12 year-old child, client controlled analgesia promotes maximum comfort.

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 3 of 5

What is most likely occurring when persistent bubbling exist in the water seal chamber of a chest drainage device?

Correct Answer: D

Rationale: Persistent bubbling indicates an air leak, either in the system or from the lung.

Extract:

Following a CVA, a patient remains unresponsive to sensory stimulation.


Question 4 of 5

The lobe of the cerebral cortex that registers general sensations such as heat, cold, pain, and touch is the:

Correct Answer: B

Rationale: The parietal lobe processes sensory information like touch and pain.

Extract:

After a craniotomy for the removal of hematoma sustained in a fall, the patient is returned to the recovery room.


Question 5 of 5

The nurse places the child in a semi-fowler's position to

Correct Answer: A

Rationale: This position utilizes gravity to drain fluid from the head and prevent fluid accumulation, reducing the risk of increased intracranial pressure.

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