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

Questions 227

NCLEX-PN

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Extract:

The nurse would expect an elderly client with a hearing loss caused by aging to have:


Question 1 of 5

The nurse would expect an elderly client with a hearing loss caused by aging to have:

Correct Answer: D

Rationale: Presbycusis, age-related hearing loss, results from inner ear damage.

Extract:


Question 2 of 5

A 15 month-old child comes to the clinic for a follow-up visit after hospitalization for treatment of Kawasaki Disease. The nurse recognizes that which of the following scheduled immunizations will be delayed?

Correct Answer: A

Rationale: MMR. Medical management of Kawasaki involves administration of immunoglobulins. Measles, mumps, rubella (MMR) is a live virus vaccine, and its administration should be delayed to ensure the body’s ability to form antibodies.

Question 3 of 5

The nurse is caring for a client with a history of breast cancer who is receiving chemotherapy. Which of the following side effects should the nurse monitor for?

Correct Answer: C

Rationale: Nausea and vomiting are common chemotherapy side effects due to gastrointestinal irritation and require monitoring for dehydration or malnutrition. Increased appetite (
A) and energy (
D) are unlikely, and white blood cell count (
B) typically decreases (neutropenia).

Question 4 of 5

During a first aid class, the nurse instructs clients on the emergency care of second-degree burns. The nurse knows that which of the following interventions for second-degree burns of the chest and arms will BEST prevent infection?

Correct Answer: B

Rationale: After extinguishing the fire, removing clothing and wrapping the victim in a clean sheet prevents contamination and infection in second-degree burns. Soap or ointments (A,
C) are contraindicated in emergencies, and delaying action (
D) increases infection risk.

Question 5 of 5

The physician has prescribed Protonix (pantoprazole) for a client with burns. The nurse recognizes that the medication will help prevent the development of:

Correct Answer: A

Rationale: Protonix (pantoprazole), a proton pump inhibitor, is prescribed to reduce gastric acid secretion and prevent stress-related mucosal damage, such as Curling's ulcer, which is common in burn patients due to stress and hypoperfusion. Answers B, C, and D are incorrect because Protonix does not directly address myoglobinuria, hyperkalemia, or paralytic ileus.

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