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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is caring for a preschool-aged child admitted with a diagnosis of suspected child abuse. During painful procedures, the child remains quiet and watchful. When planning the care of a victim of child abuse, the nurse should give priority to:

Correct Answer: B

Rationale: Assigning a consistent caregiver will best meet the child's need for safety and security. Playtime will be therapeutic for the child, but it does not have to be with same-age children, so answer A is incorrect. Answer C is too threatening to the child who has been abused, so it is incorrect. Answer D does not allow the child the chance to respond in an expected way, so it is incorrect.

Question 2 of 5

A 6 year-old child diagnosed with acute glomerulonephritis (AGN) is experiencing anorexia, moderate edema and elevated blood urea nitrogen (BUN) levels. The child requests a peanut butter sandwich for lunch. What would the nurse's best response to this request?

Correct Answer: C

Rationale: Children with AGN who have edema, hypertension oliguria and azotemia may have dietary restrictions limiting sodium, fluids, protein and potassium. Giving the child a short explanation and offering to talk about an alternative is appropriate for this age.

Question 3 of 5

A client diagnosed with an ulcer has been placed on tetracycline due to a positive helicobacter pyloric test result. Which food choice, when taken with the drug, could decrease its effectiveness?

Correct Answer: B

Rationale: Milk and dairy products can reduce the effectiveness of the drug when taken at the same time. Answers A, C, and D would not affect the drug, so they're incorrect.

Extract:

The nurses informs the pregnant client who does not like milk that there are other foods that are good sources of calcium and advises the client to eat:


Question 4 of 5

The nurses informs the pregnant client who does not like milk that there are other foods that are good sources of calcium and advises the client to eat:

Correct Answer: C

Rationale: Broccoli is a good non-dairy source of calcium, important for pregnancy.

Extract:


Question 5 of 5

The nurse is teaching parents how to reduce the spread of impetigo. The nurse should encourage parents to:

Correct Answer: C

Rationale: The spread of childhood infections, including impetigo, can be reduced when children are taught proper hand-washing technique. Because impetigo is spread through direct contact, covering the mouth and nose when sneezing won't prevent its spread. Currently, there is no vaccine to prevent a child from contracting impetigo. Isolating the child with impetigo is unnecessary.

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