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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

Which safety device is most restrictive for a client with dementia?

Correct Answer: D

Rationale: The goal of care for clients with dementia is to maintain the highest level of functioning. When restraints must be used, the least restrictive type of restraint possible should be used. A lap tray over a wheelchair severely limits the client's mobility and can cause injury if the client tries to get out of the wheelchair. A walker can be very helpful to clients with dementia as they commonly have unsteady gaits. Childproof locks are helpful in preventing accidental contact with harmful substances. An electronic monitoring system is an effective way of managing a client who wanders.

Extract:

Which of the following symptoms listed below would indicate laryngeal nerve injury following thyroidectomy?


Question 2 of 5

Hoarseness.

Correct Answer: A

Rationale: Hoarseness is a sign of laryngeal nerve damage, which can occur during thyroid surgery.

Extract:


Question 3 of 5

The nurse in the outpatient clinic teaches the mother of a 10-year-old boy with asthma how to prevent future asthmatic attacks. The nurse would be MOST concerned if the mother made which of the following statements?

Correct Answer: B

Rationale: Raking leaves exposes the child to inhaled allergens (pollen, dust), a primary asthma trigger, increasing attack risk. Playing the tuba (
A), after-school activities (
C), and walking (
D) are generally safe unless exercise-induced asthma is present, which is not specified.

Extract:

A patient with complaints of loss of peripheral vision


Question 4 of 5

A patient with complaints of loss of peripheral vision is suspected to have

Correct Answer: C

Rationale: Glaucoma causes peripheral vision loss due to increased intraocular pressure.

Extract:

In Rh incompatibility, the father is Rh positive and the mother is Rh negative.


Question 5 of 5

Rhogam must be administered:

Correct Answer: A

Rationale: Rhogam is given after abortion or delivery to prevent Rh sensitization.

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