NCLEX Questions, NCLEX-PN Free Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 227

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Extract:

Baby Larry was born with Down's syndrome.


Question 1 of 5

When performing physical assessment, the nurse should carefully evaluate the infant's:

Correct Answer: A

Rationale: Cardiac anomalies often accompany other genetic problems such as Down syndrome. 30 to 40% of these infants have congenital heart defects.

Extract:


Question 2 of 5

The nurse is caring for a client with a history of pancreatitis. Which of the following dietary recommendations should the nurse provide?

Correct Answer: B

Rationale: A low-fat, high-protein diet supports pancreatic healing by minimizing pancreatic stimulation and providing nutrients for recovery. High-fat (
A) or high-sodium (
C) diets exacerbate pancreatitis, and low-protein (
D) hinders tissue repair.

Question 3 of 5

A client with AIDS is seen in the emergency room with complaints of mouth pain, difficulty swallowing, and a white discharge in the back of his throat. The nurse would expect the physician to order

Correct Answer: B

Rationale: Symptoms suggest oral candidiasis, common in AIDS. Ketoconazole is the drug of choice for candidiasis. Metronidazole (
A) treats amebiasis, Bactrim (
C) treats Pneumocystis pneumonia, and rifampin (
D) is for tuberculosis, none of which match the symptoms.

Question 4 of 5

An infant weighed 7 pounds 8 ounces at birth. If growth occurs at a normal rate, what would be the expected weight change at 6 months of age?

Correct Answer: A

Rationale: Double the birth weight. Although growth rates vary, infants normally double their birth weight by 6 months.

Extract:

Following a successful treatment from hypothyroidism, the patient is discharged with Synthroid.


Question 5 of 5

Which of the following discharged instruction is inappropriate?

Correct Answer: D

Rationale: Synthroid is best taken in the morning to avoid insomnia, making bedtime administration inappropriate.

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