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Questions 227

NCLEX-PN

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Extract:

The nurse administers prescribed pancreatin replacement therapy to Bonnie.


Question 1 of 5

To effectively evaluate the effect of this treatment, should expect that this medication will result to

Correct Answer: B

Rationale: Pancreatin aids fat digestion, resulting in near-normal stools in pancreatic insufficiency.

Extract:

A client asks the nurse about her beta-blockers medication effect to her angina.


Question 2 of 5

What would be the nurse's response?

Correct Answer: C

Rationale: Beta-blockers decrease heart rate and cardiac contractility, reducing myocardial oxygen demand and relieving angina.

Extract:

Following Nitroglycerin patch application


Question 3 of 5

An expected outcome experienced by the client would be one of the following:

Correct Answer: B

Rationale: Nitroglycerin may cause reflex tachycardia as a compensatory response to vasodilation.

Extract:


Question 4 of 5

A child who has recently been diagnosed with cystic fibrosis (CF) is being assessed by a pediatric clinic nurse. Which finding of this disease would the nurse not expect to see at this time?

Correct Answer: C

Rationale: Moist, productive cough. Option C is a later sign. Noisy respirations and a dry non-productive cough are commonly the first of the respiratory signs to appear in a newly diagnosed client with CF. The other options are the earliest findings. CF is an inherited (genetic) condition affecting the cells that produce mucus, sweat, saliva and digestive juices. Normally, these secretions are thin and slippery, but in CF, a defective gene causes the secretions to become thick and sticky. Instead of acting as a lubricant, the secretions plug up tubes, ducts and passageways, especially in the pancreas and lungs. Respiratory failure is the most dangerous consequence of CF.

Extract:

A client has been on antibiotics for 72 hours for cystitis.


Question 5 of 5

Which report from the client requires priority attention by the nurse?

Correct Answer: C

Rationale: Rashes and breathing problems are signs of a delayed allergic reaction to antibiotics, requiring urgent attention.

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