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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is assessing a child admitted who has a fractured humerus. The family says the child fell. Which piece of information would cause the nurse to suspect child abuse?

Correct Answer: C

Rationale: Small round burns suggest cigarette burns, a specific sign of abuse. Frequent ER visits or bruising are concerning but less definitive; hand-holding is normal.

Extract:

A Registered Nurse is working in a medical unit. Due to an exceptionally busy morning, the nursing supervisor has decided to send an LPN to help out.


Question 2 of 5

As a team leader, which of the following patients will be assigned to the LPN?

Correct Answer: C

Rationale: The patient with a fractured tibia on Buck's traction is the most stable and has predictable care needs, suitable for assignment to an LPN.

Extract:


Question 3 of 5

A nurse is to administer 500 mL of IV fluid over 4 hours. The IV tubing has a drop factor of 20 drops per mL. What is the flow rate in drops per minute?

Correct Answer: B

Rationale: 500 mL ÷ 4 hours = 125 mL/h. (125 mL/h ÷ 60 min) × 20 gtt/mL = 41.67 gtt/min, rounded to 42 gtt/min. Other options are incorrect.

Extract:

Which of the following clients will most likely develop Diabetes Mellitus?


Question 4 of 5

American Indian

Correct Answer: B

Rationale: Diabetes is hereditary, and a family history, such as grandparents with diabetes, increases the likelihood of developing the condition.

Extract:


Question 5 of 5

A client comes to the emergency department complaining of headache, malaise, chills, fever, and a stiff neck. Vital sign assessment reveals a temperature elevation, increased heart and respiratory rates, and normal blood pressure. On physical examination, the nurse notes confusion, a petechial rash, nuchal rigidity, Brudzinski's sign, and Kernig's sign. What does Brudzinski's sign indicate?

Correct Answer: D

Rationale: Brudzinski's sign indicates meningeal irritation, as in meningitis. Other signs of meningeal irritation include nuchal rigidity and Kernig's sign. Brudzinski's sign doesn't indicate increased ICP, cerebral edema, or low CSF pressure.

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