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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

A 78-year-old client arrives at the hospital and is suspected of having pneumonia. Which laboratory test should be performed to confirm the diagnosis?

Correct Answer: D

Rationale: A sputum culture identifies the causative organism in pneumonia, confirming the diagnosis.

Question 2 of 5

If a client with a conductive hearing loss asks the nurse how a hearing aid improves hearing, which response by the nurse is most appropriate?

Correct Answer: A

Rationale: Conductive hearing loss involves impaired sound transmission to the inner ear. A hearing aid amplifies sounds, making them louder and easier to hear.

Question 3 of 5

The nurse is caring for a client with a deep vein thrombosis (DVT). Which position should be avoided?

Correct Answer: C

Rationale: Side-lying with legs bent can impede venous return, worsening DVT.

Question 4 of 5

A pregnant client in the third trimester calls the obstetrician's office and reports to the nurse that she has had a severe headache for the past 2 days. Which nursing action is most appropriate?

Correct Answer: D

Rationale: A severe headache in the third trimester may indicate preeclampsia, a medical emergency. Immediate evaluation is critical.

Question 5 of 5

The nurse is assessing a client with suspected appendicitis. Which finding supports this diagnosis?

Correct Answer: B

Rationale: Rebound tenderness in the right lower quadrant is a classic sign of appendicitis.

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