2023_2024 NCLEX-PN TEST PREP WITH QUESTIONS AND CORRECT ANSWERS TESTED AND CONFIRMED A+ ANSWERS Complete And Verified Study material) (37pages) LEARNEXAMS

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 side effect of

Dilantin therapy?

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

of the 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

support that 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.

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