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Questions 227

NCLEX-PN

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Extract:

A patient who suffered burns 48 hours ago is entering the second phase of burn injury.


Question 1 of 5

What physiologic changes can you expect?

Correct Answer: D

Rationale: The second phase involves an inflammatory response, increasing WBC to fight infection.

Extract:


Question 2 of 5

A client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects a belief that he is:

Correct Answer: A

Rationale: A client with delusions of grandeur has a false belief that he is highly important or famous. A delusion of persecution is a false belief that one is being persecuted. A delusion of reference is a false belief that one is connected to events unrelated to oneself or a belief that one is responsible for the evil in the world.

Question 3 of 5

A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode. In the ICU, continuous Heparin drip therapy is initiated. Which of the following assessment findings indicates a positive response to Heparin therapy?

Correct Answer: B

Rationale: Heparin in DIC halts excessive clotting, preserving fibrinogen by preventing its conversion to fibrin. Increased fibrinogen indicates effective therapy. Other options are secondary or less specific indicators. Physiological Adaptation

Question 4 of 5

Which of the following organs of the digestive system has a primary function of absorption?

Correct Answer: C

Rationale: The small intestine is the primary site for nutrient absorption due to its large surface area. The other organs have different primary functions, like digestion or storage. Physiological Adaptation

Question 5 of 5

A teenage client is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?

Correct Answer: B

Rationale: Acetaminophen is metabolized in the liver, and overdose can cause severe liver damage or failure. The other organs are not primarily affected by acetaminophen overdose. Pharmacological Therapies

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