REVISION QUESTIONS - metabolism, leading to symptoms like increased ...

NCLEX PN 2025

REVISION QUESTIONS

WITH DETAILED

ANSWERS

Rationale:

In Graves' disease, an overproduction of thyroid hormones (hyperthyroidism) can speed up the body's metabolism, leading to symptoms like increased heart rate and palpitations.Hyperthyroidism can increase the speed at which food travels through the digestive tract, resulting in diarrhea or more frequent bowel movements.Hyperthyroidism can lead to nervous system hyperactivity, which can cause fine tremors, especially in the hands and fingers.Graves' disease can cause Graves' ophthalmopathy, leading to inflammation and other changes in the eye tissues, resulting in bulging eyes or exophthalmos.The nurse should recognize which of the following common physiological signs of aging.

Select all that apply. - Answer: Decreased metabolism

Reduced muscle mass and strength Changes in bone density

Rationale: 1 / 4

Decreased metabolism: As people age, their metabolic rate tends to decrease. This can result in a gradual decrease in energy levels and a potential increase in weight if dietary and exercise habits are not adjusted accordingly.Reduced muscle mass and strength: With aging, there is a gradual loss of muscle mass and strength, known as sarcopenia. This can lead to decreased mobility, balance issues, and an increased risk of falls.Changes in bone density: Bones tend to become less dense and more fragile with age, leading to an increased risk of fractures. Conditions like osteoporosis are more prevalent in older adults, especially postmenopausal women.Which of the following nonpharmacological interventions are appropriate for a 2-month-old with a fever of 39.2 degrees Celsius?

Select all that apply. - Answer: Encouraging adequate fluid intake

Dressing the child in lightweight clothing Using cooling techniques Providing a cool and comfortable environment

Rationale:

It is crucial to ensure that the 2-month-old with a fever stays well-hydrated. Offering fluids, such as breast milk or formula, helps prevent dehydration and supports the body's healing process.Dressing the baby in light, breathable clothing helps facilitate heat dissipation and prevents overheating.Avoiding excessive layers or heavy clothing promotes comfort and helps regulate body temperature.Employing cooling techniques like lukewarm sponge baths or placing cool, damp cloths on the baby's forehead and underarms can aid in reducing body temperature. These measures should be done gently to prevent chilling the baby. 2 / 4

Creating a cool and comfortable environment by adjusting the room temperature, using a fan, or providing good air circulation can help lower the baby's body temperature and promote comfort.The licensed practical/vocational nurse (LPN/VN) is reinforcing teaching to a group of students about medications and fall prevention. The nurse would be correct to identify which of the following medications can increase the risk for falls?Select all that apply.Naproxen Alprazolam Bumetanide Verapamil Allopurinol

Thiamine - Answer: Alprazolam

Bumetanide Verapamil

Rationale:

Medications that may hasten the risk for falls include benzodiazepines such as alprazolam. This medication causes drowsiness and may impair judgment. Bumetanide is a loop diuretic; this medication may cause a client to experience orthostatic hypotension and the urgency to use the bathroom. Both of which pose a fall hazard. Verapamil is a calcium channel blocker and is utilized in the management of migraines and hypertension. This medication causes vasodilation; therefore, it will allow the client to become orthostatic if they do not shift positions slowly.An LPN is working with a client who has a spinal cord injury. Which of the following symptoms would indicate autonomic dysreflexia in a client who has suffered a spinal cord injury? 3 / 4

Select all that apply. - Answer: Severe headache

Flushing or redness of the skin above the level of injury Abdominal distention

Rationale:

Severe headache. This is a right symptom of autonomic dysreflexia. A sudden, severe headache is a common manifestation of autonomic dysreflexia resulting from an overactive autonomic nervous system response.Flushing or redness of the skin above the level of injury. This is a correct symptom of autonomic dysreflexia. Flushing or redness of the skin above the level of injury occurs due to the dilation of blood vessels caused by the abnormal autonomic response.Abdominal distention.This is a correct symptom of autonomic dysreflexia. Abdominal distention can occur due to increased intra-abdominal pressure resulting from autonomic dysreflexia, which a full bladder or bowel impaction may cause.You are reinforcing counseling for two parents that are preparing for the birth of their first child. They decided to undergo genetic testing and find out that they are both carriers of sickle cell anemia. What is the chance of their baby having sickle cell anemia?

A. 25%

B. 50%

C. 75%

D. 100% - Answer: 25%

Rationale:

Their baby has a 25% chance of having sickle cell anemia. The father and the mother are Ss because they are carriers.

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