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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

Which medication is more helpful in treating bulimia than anorexia?

Correct Answer: C

Rationale: In contrast to anorexics, individuals with bulimia are troubled by their behavioral characteristics and become depressed. The person feels compelled to binge, purge, and fast. Feeling helpless to stop the behavior, feelings of self-disgust occur.

Question 2 of 5

The RN delegates the task of taking vital signs of all the clients on the medical-surgical unit to an unlicensed assistive personnel (UAP). Specific written and verbal instructions are given to not take a post-mastectomy client's blood pressure on the left arm. Later as the RN is making rounds, the nurse finds the blood pressure cuff on that client's left arm. Which of these statements is most immediately accurate?

Correct Answer: D

Rationale: The UAP is responsible for carrying out the activity correctly once directions have been clearly communicated especially if given verbally and in writing.

Question 3 of 5

A 3 year-old child comes to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, skin hot to touch, sits leaning forward, tongue protruding, drooling and suprasternal retractions. What should the nurse do first?

Correct Answer: D

Rationale: These findings suggest a medical emergency and may be due to epiglottitis. Any child with an acute onset of an inflammatory response in the mouth and throat should receive immediate attention in a facility equipped to perform intubation or a tracheostomy in the event of further or complete obstruction.

Question 4 of 5

A 38-year-old woman, mother of two, has a mastectomy for breast cancer. When she returns to the physician's office a month later for a routine check-up, the nurse asks the client how she has been. Which of the following responses, if made by the client to the nurse, indicates that the client is experiencing a normal reaction to the surgery?

Correct Answer: B

Rationale: One month post-mastectomy, emotional responses like difficulty coping and frequent crying are normal as the client processes grief and body image changes. Helping family (
A) or returning to work (
D) suggest advanced coping stages premature at this point, and social withdrawal (
C) indicates an abnormal reaction.

Extract:

A patient with a tentative diagnosis of cholecystitis is discharged from the emergency room with instructions to make an appointment for a more definitive diagnosis workup.


Question 5 of 5

The recommendation that would produce the most valuable diagnostic information would be:

Correct Answer: A

Rationale: A pain journal helps identify triggers and patterns, aiding cholecystitis diagnosis.

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