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Questions 227

NCLEX-PN

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Extract:

Which of the following shouldn't be considered when assessing an elderly patient?


Question 1 of 5

Which of the following shouldn't be considered when assessing an elderly patient?

Correct Answer: C

Rationale: Assuming all elderly patients need loud speech stereotypes and may miss nuanced hearing issues.

Extract:

A 78-year-old client is admitted for open reduction of a wrist fracture. That night she is found wandering in the hallway near the fire alarm. When the nurse calls the client's name, the client says, 'If you come any closer to me I'll pull this fire alarm. You're a drug addict. I saw you taking drugs out of the cabinet.'


Question 2 of 5

The best response by the nurse would be:

Correct Answer: A

Rationale: This response addresses safety calmly without escalating the situation.

Extract:


Question 3 of 5

An adult asks the nurse why she must have her skin shaved prior to surgery. What is the best nursing response? Reducing the hair by shaving:

Correct Answer: A

Rationale: Shaving reduces infection risk by removing hair, which can harbor bacteria, the primary rationale for preoperative skin preparation.

Question 4 of 5

A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?

Correct Answer: D

Rationale: Morphine can cause sphincter of Oddi spasm, worsening pancreatitis pain, and should be questioned. Meperidine is preferred, and Mylanta/cimetidine are appropriate for symptom management.

Extract:

A 4-year-old child is being discharge.


Question 5 of 5

What is the suitable car seat for the child?

Correct Answer: B

Rationale: A 4-year-old typically uses a forward-facing car seat with a harness, appropriate for their size.

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