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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:

A 35-year-old male has been an insulin-dependent diabetic for five years and now is unable to urinate.


Question 1 of 5

Which of the following would you most likely suspect?

Correct Answer: C

Rationale: Autonomic neuropathy can impair bladder function, causing urinary retention in long-term diabetes.

Extract:


Question 2 of 5

Which of the following clients is at greatest risk for postpartal hemorrhage?

Correct Answer: D

Rationale: A gravida 4 para 3 with a Caesarean section is at higher risk for postpartal hemorrhage due to multiparity and surgical delivery, which can lead to uterine atony and increased bleeding risk.

Extract:

Hirschprung's Disease is somewhat similar to cystic fibrosis. In both diseases, the newborn does not pass out meconium.


Question 3 of 5

Pathophysiologically, in Hirschprung's Disease, the child's affected organ is:

Correct Answer: B

Rationale: Hirschprung's disease involves aganglionic segments of the large intestine, causing obstruction.

Extract:

The nurse understands that the patient with esophageal varices should not be given food such as:


Question 4 of 5

The nurse understands that the patient with esophageal varices should not be given food such as:

Correct Answer: A

Rationale: Crackers, being rough, can irritate or rupture fragile esophageal varices.

Extract:


Question 5 of 5

The nurse is caring for a client with a tracheostomy. Which of the following actions should the nurse perform to prevent complications?

Correct Answer: B

Rationale: Cleaning the inner cannula with sterile technique prevents infection and ensures airway patency, a priority in tracheostomy care. Suctioning (
A) is as needed, not routine, tie changes (
C) are less frequent, and dressings (
D) should be pre-cut and moisture-resistant.

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