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NCLEX-PN TEST PREP 2023/2024 QUESTIONS AND ANSWERS WITH EXPLANATIONS

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1. The child with seizure disorder is being treated with Dilantin (phenytoin). Which of the following statements by the patient’s mother indicates to the nurse that the patient is experiencing a s... ide effect of Dilantintherapy? A. “She is very irritable lately.” B. “She sleeps quite a bit of the time.” C.“Her gums look too big for her teeth.” D.“She has gained about 10 pounds in the last 6 months.” Answer C: Hyperplasia of the gums is associated with Dilantin therapy. Answer A is not related to the therapy; answer B is a side effect, and answer D is not related to the question. 2. A 5-year-old is admitted to the unit following a tonsillectomy. Which ofthe following would indicate a complication of the surgery? A. Decreased appetite B. A low-grade fever C. Chest congestion D. Constant swallowing Answer D: A complication of a tonsillectomy is bleeding, and constant swallowing may indicate bleeding. Decreased appetite is expected after a tonsillectomy, as is a low-grade temperature; thus, answers A and B are incorrect. In answer C, chest congestion is not normal but is not associated with the tonsillectomy. 3. A 6-year-old with cerebral palsy functions at the level of an 18-monthold. Which finding would supportthat assessment? A. She dresses herself. B. She pulls a toy behind her. C. She can build a tower of eight blocks. D. She can copy a horizontal or vertical line. Answer B: Children at 18 months of age like push-pull toys. Children at approximately 3 years of age begin to dress themselves and build a tower of eight blocks. At age four, children can copy a horizontal or vertical line. Therefore, answers A, C, and D are incorrect. [Show More]

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