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NCLEX-PN

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Extract:


Question 1 of 5

A case management clinical pathway for congestive heart failure might include all of the following except:

Correct Answer: D

Rationale: Clinical pathways include maps of care outcomes to be achieved prior to discharge or movement through a health care system. Insurance review for reimbursement is a function of an outside agency from the health care provider.

Question 2 of 5

The nurse is teaching a group of college students about breast self-examination. A woman asks for the best time to perform the monthly exam. What is the best reply by the nurse?

Correct Answer: B

Rationale: The best time for a breast self-exam (BSE) is a week after a menstrual cycle, when the breasts are no longer swollen and tender due to hormone elevation.

Extract:

Post thoracentesis, the patient complains of blood-tinged sputum.


Question 3 of 5

Which of the following would the PN performs first?

Correct Answer: B

Rationale: Blood-tinged sputum may indicate a pneumothorax, so auscultating for breath sounds is the priority to assess lung status.

Extract:


Question 4 of 5

Several passengers aboard an airliner suddenly become weak and suffer breathing difficulty. The diagnosis is likely to be:

Correct Answer: B

Rationale: Sudden, simultaneous symptoms in a group suggest chemical exposure, likely affecting the respiratory system. The other conditions are less likely to cause acute, collective symptoms. Safety and Infection Control

Question 5 of 5

A client with abdominal surgery is admitted to the recovery room with an NG tube to low suction. Which of the following lab values indicates a complication of NG suction?

Correct Answer: B

Rationale: NG suction can lead to loss of gastric fluid, causing hypernatremia (elevated sodium, as seen with Na 150 mEq/L) due to dehydration and electrolyte imbalance.

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