NCLEX Questions, PN NCLEX Practice Exam Questions, NCLEX-PN Questions, Nurselytic

Questions 164

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Question 1 of 5

The nurse admits a 2 year-old child who has had a seizure. Which of the following statement by the child's parent would be important in determining the etiology of the seizure?

Correct Answer: B

Rationale: He has had an ear infection for the past 2 days.' Contributing factors to seizures in children include those such as age (more common in first 2 years), infections (late infancy and early childhood), fatigue, not eating properly and excessive fluid intake or fluid retention.

Question 2 of 5

The nurse is assessing a client in the emergency room. Which statement suggests that the problem is acute angina?

Correct Answer: A

Rationale: My pain is deep in my chest behind my breast bone. This describes the typical substernal pain of acute angina.

Question 3 of 5

A male client calls for a nurse because of chest pain. Which statement by the client would require the most immediate action by the nurse?

Correct Answer: D

Rationale: Chest pain radiating to the jaw and left arm is a classic symptom of myocardial infarction, requiring immediate action to assess for a life-threatening cardiac event.

Question 4 of 5

A client is admitted with a diagnosis of hepatitis B. In reviewing the initial laboratory results, the nurse would expect to find elevation in which of the following values?

Correct Answer: C

Rationale: Bilirubin. Hepatitis B causes liver dysfunction, leading to elevated bilirubin levels.

Question 5 of 5

The nurse is caring for a client who has bleeding esophageal varices. What should the nurse expect might develop in this client? Select all that apply.

Correct Answer: A,B

Rationale: Bleeding varices cause blood loss, leading to tarry stools (melena) from digested blood and confusion from hepatic encephalopathy due to liver dysfunction. Abdominal pain, hypertension, tremors, or hallucinations are less directly related.

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