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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

To prevent drug resistance from developing, the nurse is aware that which of the following is a characteristic of the typical treatment plan to eliminate the tuberculosis bacilli?

Correct Answer: D

Rationale: Administering two anti-tuberculosis drugs. Resistance of the tubercle bacilli often occurs to a single antimicrobial agent.
Therefore, therapy with multiple drugs over a long period of time helps to ensure eradication of the organism.

Question 2 of 5

A client comes to the clinic for assessment of his physical status and guidelines for starting a weight-reduction diet. The client's weight is 216 pounds and his height is 66 inches. The nurse identifies the BMI (body mass index) as:

Correct Answer: C

Rationale: BMI is calculated as weight (kg) / height (m)^2. For 216 lbs (98 kg) and 66 inches (1.68 m), BMI = 98 / (1.68)^2 ≈ 35, indicating obesity (BMI ≥ 30). Physiological Adaptation

Extract:

A mother with cystic fibrosis child is receiving health teaching from the nurse regarding danger signs of her illness.


Question 3 of 5

The mother has best understood the teaching when she says:

Correct Answer: C

Rationale: Respiratory distress, indicated by tiredness, is a critical danger sign in cystic fibrosis.

Extract:


Question 4 of 5

The client's mother contacts the clinic regarding medication administration stating, 'My daughter can't swallow this capsule. It's too large.' Investigation reveals that the medication is a capsule marked SR. The nurse should instruct the mother to:

Correct Answer: C

Rationale: SR (sustained release) capsules cannot be opened or crushed, as this alters their release mechanism. The pharmacist should be contacted for an alternative formulation.

Question 5 of 5

The nurse is teaching a client with a new diagnosis of gout about dietary management. Which of the following foods should the client avoid?

Correct Answer: C

Rationale: Sardines are high in purines, which increase uric acid levels, triggering gout attacks. Spinach (
A), chicken (
B), and rice (
D) are low-purine and safe for gout management.

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