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Questions 227

NCLEX-PN

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Extract:

The patient with pancreatitis may exhibit Cullen's sign on the physical examination.


Question 1 of 5

Which of the following symptoms best describes Cullen's sign?

Correct Answer: D

Rationale: Cullen's sign is periumbilical bluish discoloration, indicating intra-abdominal bleeding.

Extract:

When assessing a patient with pleural effusion, the nurse should expect to find:


Question 2 of 5

When assessing a patient with pleural effusion, the nurse should expect to find:

Correct Answer: C

Rationale: Pleural effusion causes fluid accumulation, reducing or eliminating breath sounds at the lung base.

Extract:


Question 3 of 5

The nurse is caring for clients in the GYN clinic. A client at 28-weeks gestation states that she occasionally leaks urine when she coughs or sneezes. Which of the following actions by the nurse is BEST?

Correct Answer: A

Rationale: Urine leakage during coughing or sneezing at 28 weeks gestation suggests stress incontinence, common due to pelvic pressure. Kegel exercises strengthen pelvic floor muscles, improving control. A urine specimen (
B) is unnecessary without infection signs, leakage is not ‘expected’ (
C), and specialist referral (
D) is premature.

Question 4 of 5

While repositioning a comatose client, the nurse senses a tingling sensation as she lowers the bed. What action should she take?

Correct Answer: A

Rationale: Shutting off the bed's electricity should be the initial step. The nurse should not touch the client until the bed is checked for faulty grounding.

Extract:

Which of the following individuals is at greatest risk for experiencing cerebral vascular accident?


Question 5 of 5

A 50-year-old African-American male with history of hypertension.

Correct Answer: A

Rationale: This patient has multiple risk factors for CVA: African-American race, male gender, age, and hypertension.

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