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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is teaching a group of college students about breast self-examination. A woman asks for the best time to perform the monthly exam. What is the best reply by the nurse?

Correct Answer: B

Rationale: The best time for a breast self-exam (BSE) is a week after a menstrual cycle, when the breasts are no longer swollen and tender due to hormone elevation.

Extract:

When assessing for complications of hyperparathyroidism, the nurse should monitor the patient for:


Question 2 of 5

Tetany

Correct Answer: D

Rationale: Hyperparathyroidism causes calcium release from the bones, leaving them porous and weak, leading to bone destruction.

Extract:


Question 3 of 5

The nurse is preparing to administer a medication via a nasogastric tube. Which of the following actions should the nurse perform FIRST?

Correct Answer: B

Rationale: Checking NG tube placement (e.g., via pH testing of aspirate) ensures the medication is delivered to the stomach, preventing aspiration. Crushing medication (
A) and flushing (
C) follow placement confirmation, and supine positioning (
D) increases aspiration risk.

Question 4 of 5

The mother of a 3-year-old is complaining that her son still throws temper tantrums when he doesn't get his way. How should the nurse advise the mother to respond?

Correct Answer: A

Rationale: This child is in Erikson's developmental stage of initiative versus guilt. Guilt develops when the child is made to feel bad about his behavior. Ignoring the negative behavior shows the child that he'll gain nothing through negative behavior such as temper tantrums. Promising the child a new toy or giving in to his demands will reinforce his negative behavior by rewarding his tantrums. Mimicking the child will make him feel guilty.

Extract:

The day before a patient who has had a subtotal gastrectomy is to be discharged, the patient complains of perspiring and having epigastric discomfort about a half hour after eating lunch. The symptoms disappear within a few minutes.


Question 5 of 5

The nurse recognizes that the teaching about prevention is understood when the patient states, 'I can limit these symptoms by:

Correct Answer: D

Rationale: Small, low-carbohydrate meals reduce dumping syndrome symptoms post-gastrectomy.

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