PN-NCLEX-Integrated A 1 2022 FULL SOLUTION LATEST UPDATE GRADED A+.pdf

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1. A mother reported that her son is throwing up each time she feeds him. What would be the best assessment question the nurse would ask? a. Did you warm up the formula? b. What kind of formula did... you give him? c. Does your son feel hungry each time he throws up? d. Does your son have a jelly-like stool? Answer: D – jelly-like stool is an indication of GI problem. 2. Rosemarie is 24 years old, G1P0, admitted with a diagnosis of Multiple Sclerosis. The nurse observes indications of positive response from treatments and signs that the patient is recovering from the disease by which of the following assessment data? a. Less frequent mood swings. b. Able to wiggle toes and move fingers. c. Worsening urinary incontinence. d. Ambulates with a more stable gait. Answer: D – Multiple Sclerosis temporarily affects both sensory and motor. Being able to walk with stable gait is a sign that the motor function is returning to normal. 3. Rolland works in the construction site and sustains head injury when a small piece of metal dropped on his head. As a result of the accident, he experiences brief loss of conciousness. He was admitted in the medical unit for further investigation and sub dural hematoma is suspected. Important nursing care provided for Mr. T includes: a. Side lying b. Semi fowler’s c. High fowler’s d. Flat Answer: B – due to possible increased ICP, semi-fowlers’ position is appropriate to promote venous drainage and decreases ICP. 4. Ron is 4-year-old child being discharge to home after an uneventful tonsillectomy. The nurse would suggest that the appropriate car seat for the child is a. the rear-facing seat. b. the front facing seat. c. the booster seat with car seat belt. d. the back seat. Answer: C – booster car seat is appropriate for a bigger child. 5. Mr. Dubin is admitted with a diagnosis of severe anemia. He was ordered two units of packed cells. Should Mr. Dubin develops hemolytic transfusion reaction, nurse will immediately stop the transfusion and then a. run the IV NS. b. send the remaining blood to the lab. c. monitor the vital signs. d. collect urine specimen to be sent to the lab.. Answer: A – Normal Saline is compatible with blood transfusion. The physician must be informed after running the NS. 6. A patient with rheumatoid arthritis complains to the nurse about her back pain and said, “I want a bed that is similar to what I have at home.” What would be an appropriate nursing response? a. “I will massage your back to ease up the pain.” b. “I will ask the physician to order analgesic for you.” c. “I will refer you to the occupational therapist.” d. Ask the husband how the patient sleeps at home. Answer: D – assessment is the first step to be taken by the nurse. [Show More]

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