NCLEX Questions, Best NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 149

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Question 1 of 5

The nurse is assessing an adolescent male diagnosed with gonorrhea. Which specific signs and symptoms should the nurse associate with the gonorrheal infection? Select all that apply.

Correct Answer: B,C

Rationale: Gonorrhea typically causes purulent urethral discharge and dysuria/frequency in males, not lesions or rashes.

Question 2 of 5

The nurse is caring for the child who has a virulent infection. The HCP prescribes cefazolin sodium IV 50 mg every 6 hours. The Pediatric Dosage Handbook states the safe range of cefazolin is 6.25 to 25 mg per kg per day. The child weighs 18 lb. What is the most appropriate action by the nurse?

Correct Answer: C

Rationale: Convert 18 lb to kg: 18 ÷ 2.2 = 8.18 kg. Safe range: 6.25–25 mg/kg/day = 51.13–204.5 mg/day. Prescribed dose: 50 mg × 4 = 200 mg/day, which is within the safe range.

Question 3 of 5

The clinic nurse is advising the parent of the 8-year-old who has ringworm and now has an extensive, itchy rash. Which instruction should the nurse provide?

Correct Answer: A

Rationale:
Topical steroids and antihistamines can reduce itching and inflammation from ringworm, managing symptoms effectively.

Question 4 of 5

An adult male is being treated for depression. He has been in the hospital for three weeks. Which observation by the nurse is indicative of improvement in his condition?

Correct Answer: D

Rationale: Initiating conversation indicates improved social engagement, a sign of recovery from depression.

Question 5 of 5

The nurse is planning care for the client who had a TRAM (transrectus abdominis myocutaneous) flap breast reconstruction. Which actions should the nurse include?

Correct Answer: B

Rationale: A. Upper-extremity exercise and ROM are restricted to reduce strain on the incision site. B.
To monitor for viability and adequacy of blood supply to the TRAM flap, the flap must be assessed hourly for the first 24 hours. C. Pressure over the flap is avoided until healing is complete. D. The affected arm should be elevated to promote venous return.

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