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Questions 227

NCLEX-PN

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Extract:

Mrs. A is a 40-year-old woman who reports menstrual irregularities and believes she is experiencing an early menopause. She reports feeling fatigue and restless at times. Physical findings reveal a thin woman with fine hair, moist, warm skin, and a goiter with bruit present. Heart rate is 110; BP 140/80.


Question 1 of 5

These findings are consistent with:

Correct Answer: B

Rationale: Symptoms and findings like goiter, tachycardia, and moist skin indicate Grave's disease (hyperthyroidism).

Extract:


Question 2 of 5

The nurse manager is discussing with the staff the facility's protocol in the event of a tornado. Which instructions would the LPN/LVN expect the nurse manager to include in the discussion? Select all that apply.

Correct Answer: B,C,D

Rationale:
Tornado safety includes moving beds away from windows to avoid glass shards, closing shades and curtains to reduce flying debris, and covering bedridden clients with blankets for protection. Opening doors increases air pressure risks, and relocating ambulatory clients to rooms may expose them to window hazards.

Question 3 of 5

The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child?

Correct Answer: A

Rationale: Make certain the child is maintained in correct body alignment. Proper alignment ensures effective traction and prevents complications.

Question 4 of 5

An elderly diabetic who has been maintained on metformin (Glucophage) is scheduled for a cardiac catheterization. Which instruction should be given to the client?

Correct Answer: C

Rationale: Metformin can cause renal problems, and the contrast dye used in cardiac catheterization is nephrotoxic. The medication should be discontinued before the exam and replaced with insulin temporarily.

Question 5 of 5

An adult is receiving total parenteral nutrition (TPN). Which assessment is essential for the nurse to make?

Correct Answer: D

Rationale: Daily weights monitor fluid balance and nutritional status, critical for TPN to prevent overload or malnutrition. TPN is intravenous, not gastric, and bowel movements/sounds are less relevant.

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