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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is planning care for a client with increased intracranial pressure. The best position for this client is

Correct Answer: C

Rationale: Semi-Fowlers. Maintaining the head of the bed at 15-30 degrees reduces cerebral venous congestion, helping to manage increased intracranial pressure.

Question 2 of 5

A nurse is caring for a patient with major depressive disorder. Which of the following interventions is most appropriate?

Correct Answer: C

Rationale: Group activities promote socialization and reduce isolation in depression, supporting recovery. Encouraging alone time or avoiding feelings worsens symptoms, and expression should be encouraged therapeutically.

Extract:

A patient with Alzheimer's disease is admitted with suspected dehydration after his daughter reports that he's refused to drink anything for the past 3 days.


Question 3 of 5

Which lab result is most expected with dehydration?

Correct Answer: B

Rationale: Hypernatremia (elevated sodium) is expected in dehydration due to water loss.

Extract:


Question 4 of 5

Which of the following injuries, if demonstrated by a client entering the Emergency Department, is the highest priority?

Correct Answer: C

Rationale: A stab wound to the chest is the highest priority due to potential for pneumothorax or mediastinal shift, which can be life-threatening. The ABC (airway, breathing, circulation) principle prioritizes this injury. Physiological Adaptation

Question 5 of 5

The nurse is taking a health history from a Native American client. It is critical that the nurse must remember that eye contact with such clients is considered

Correct Answer: B

Rationale: Rude. Native Americans consider direct eye contact to be impolite or aggressive among strangers.

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