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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

Which play activity is most appropriate for a 3-year-old with a hip spica cast?

Correct Answer: C

Rationale: A coloring book and crayons allow a 3-year-old in a hip spica cast to engage in a stationary, creative activity, so C is correct. Barbie dolls , toy telephone , and puzzles may be difficult due to the cast's restrictions.

Extract:

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


Question 2 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:

On the second day of surgery, the mother reported fever and rapid respirations on her child. The child's temperature was 39°C.


Question 3 of 5

The first action taken by the nurse should be to

Correct Answer: A

Rationale: Fever and rapid respirations post-surgery may indicate infection or complications, requiring immediate physician notification.

Extract:


Question 4 of 5

The nurse is caring for a client who had a right below-the-knee amputation three days ago. The client complains of pain in the right foot and asks for pain medication. What nursing action is appropriate initially?

Correct Answer: C

Rationale: Phantom limb pain, common post-amputation, is real pain; administering ordered pain medication addresses it effectively. Elevation, placebos, or discussion are less appropriate initially.

Extract:

If your patient is in pain most of the day, administer analgesic doses


Question 5 of 5

If your patient is in pain most of the day, administer analgesic doses

Correct Answer: B

Rationale: Regularly scheduled analgesics maintain consistent pain control.

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