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

Questions 176

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NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The nurse is caring for a 4-year-old child in the emergency department who has a 104 F (40 C) temperature, is obtunded, and has a positive Kernig's sign. The parents are refusing antibiotics and any treatment. The parents state that their religious belief is to trust in just prayer and believe the child will receive divine healing. What action does the nurse anticipate?

Correct Answer: C

Rationale: A 4-year-old with suspected meningitis requires urgent treatment. Notifying administration (
C) ensures legal and ethical intervention to protect the child. AMA (
A), power of attorney (
B), or respecting autonomy (
D) are inappropriate for a minor.

Question 2 of 5

The nurse is discussing child safety with a group of mothers of toddlers. Which statement indicates a need for more instruction?

Correct Answer: A

Rationale:
Toddlers (under 2 years) should be in rear-facing car seats for safety; front-facing is incorrect, indicating a need for further instruction.

Question 3 of 5

A woman is admitted with Hodgkin's disease. Which does the nurse expect the client to report?

Correct Answer: A

Rationale: Hodgkin's disease typically presents with painless swollen lymph nodes, a hallmark symptom the nurse should expect.

Question 4 of 5

A client with Addison's disease will most likely exhibit which symptom?

Correct Answer: B

Rationale: A bronze pigmentation is a sign of Addison's disease. Answers A, C, and D are symptoms of Cushing's syndrome, making them incorrect.

Question 5 of 5

A nurse is reinforcing teaching to a client that breastfeeds who has been diagnosed with mastitis of the right breast. Which of the following instructions should be included? Select all that apply.

Correct Answer: B, D

Rationale: Increased fluids (
B) and ibuprofen (
D) manage dehydration and pain. Ceasing breastfeeding (
A) or reducing feeds (
C) can worsen mastitis, and tight bras (E) may increase discomfort.

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