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Questions 227

NCLEX-PN

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Extract:

A child sustains a fractured femur in a bicycle accident. However, the admission x-ray films reveal evidence of fractures of other long bones in various stages of healing.


Question 1 of 5

The nurse determines that this child should be assessed for:

Correct Answer: A

Rationale: Multiple fractures in various healing stages suggest non-accidental trauma, indicating child abuse.

Extract:


Question 2 of 5

Which client is at risk for the development of pernicious anemia?

Correct Answer: A

Rationale: Gastric resection can lead to pernicious anemia due to reduced intrinsic factor production, impairing vitamin B12 absorption.

Question 3 of 5

A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, 'I need this surgery because nothing else I have done has helped me to lose weight.' Which response by the nurse is most appropriate?

Correct Answer: D

Rationale: Respecting the client's informed decision for surgery demonstrates empathy and professionalism. The other responses are judgmental or dismissive of her situation. Physiological Adaptation

Extract:

Which of the following can an 8-month old perform?


Question 4 of 5

Walks up and down the stairs.

Correct Answer: D

Rationale: An 8-month-old commonly puts objects in their mouth, a developmental milestone.

Extract:


Question 5 of 5

The nurse notes an abrupt onset of confusion in an elderly patient. Which of the following recently-ordered medications would most likely contribute to this change?

Correct Answer: C

Rationale: Antihistamine. Elderly people are susceptible to the side effect of anticholinergic drugs, such as antihistamines. Antihistamines often cause confusion in the elderly, especially at high doses.

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