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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:

A 25-year-old young male comes into the ER following a motorbike accident. Upon obtaining a recent history, the patient states he fell in the ground and hit his head on the pavement. He reports that he was unconscious for 15 seconds and then confused for several minutes.


Question 1 of 5

What is the first diagnostic test to perform on this patient?

Correct Answer: C

Rationale: A CT scan must be performed as soon as possible to rule out a cerebral hemorrhage. Blurred vision and loss of consciousness may indicate a severe brain injury.

Extract:


Question 2 of 5

A client with diverticulitis has received nutritional discharge instructions for a high-fiber diet. Which menu selection by the client would reinforce that the teaching was effective?

Correct Answer: C

Rationale: This diet has the highest amount of fiber. Answers A, B, and D have low amounts of fiber, so they're incorrect.

Question 3 of 5

Which of the following foods is a complete protein?

Correct Answer: B

Rationale: Eggs are a complete protein because they contain all nine essential amino acids in sufficient quantities. The other options are incomplete proteins as they lack one or more essential amino acids. Health Promotion and Maintenance

Question 4 of 5

A client with a history of seizures is prescribed phenytoin (Dilantin) 100 mg tid. The nurse should instruct the client to

Correct Answer: B

Rationale: Alcohol can lower phenytoin levels, increasing seizure risk, so avoidance is critical. Taking with meals (
A) is unnecessary, calcium (
C) is unrelated, and stopping for a rash (
D) requires physician consultation due to potential Stevens-Johnson syndrome.

Question 5 of 5

The nurse is caring for a client with a history of diabetes mellitus who is experiencing diabetic ketoacidosis (DKA). Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: DKA causes fruity breath odor due to ketone production from fat metabolism. Rapid, deep respirations (not slow,
A) compensate for acidosis, tachycardia/hypotension (not bradycardia,
C) occur, and hyperglycemia (not hypoglycemia,
D) is typical.

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