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Questions 227

NCLEX-PN

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Extract:

A patient is to have gastric gavage.


Question 1 of 5

When the gavage tube is inserted, the nurse should place the patient in the:

Correct Answer: D

Rationale: High Fowler's position prevents aspiration during gastric gavage.

Extract:


Question 2 of 5

An adult has completed an alcohol detoxification program and will be discharged later today. Which comment indicates the best understanding of the discharge care?

Correct Answer: C

Rationale: Attending AA meetings indicates commitment to sobriety and support, essential for recovery post-detoxification.

Extract:

A 14-year-old patient with a diagnosis of gonorrhea requested you not to tell her parents about the disease.


Question 3 of 5

How will you respond?

Correct Answer: B

Rationale: Confidentiality is maintained for minors in sensitive diagnoses like STIs, unless there's a legal requirement to disclose.

Extract:


Question 4 of 5

The physician prescribes meperidine (Demerol), 1.1 mg/kg I.M., for a 16-month-old child who has just had abdominal surgery. When administering this drug, the nurse should use a needle of which size?

Correct Answer: C

Rationale: For an infant, the nurse should use a needle with the smallest appropriate gauge for the medication to be given. For an I.M. injection of meperidine, a 25G to 22G needle is appropriate.

Question 5 of 5

The nurse is teaching a client with a new diagnosis of glaucoma about the condition. Which of the following statements by the client indicates understanding?

Correct Answer: B

Rationale: Glaucoma involves increased intraocular pressure, and adherence to prescribed eye drops (e.g., timolol) is critical to prevent optic nerve damage. Dim light (
A) is unrelated, stopping medication (
C) is dangerous, and glaucoma results from reduced fluid drainage (not excess,
D).

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