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NCLEX Practice Test PN Questions

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Question 1 of 5

A client admitted with acute myocardial infarction suddenly displays air hunger, dyspnea, and coughing with frothy, pink-tinged sputum. What would the nurse anticipate when auscultating the breath sounds of this client?

Correct Answer: C

Rationale: Frothy, pink-tinged sputum and dyspnea indicate pulmonary edema, a complication of myocardial infarction. Diffuse bilateral crackles are heard due to fluid in the alveoli.

Question 2 of 5

A victim of domestic violence tells the batterer she needs a little time away. How would the nurse expect that the batterer might respond?

Correct Answer: B

Rationale: With fear of rejection causing increased rage toward the victim. Fear of abandonment often escalates abusive behavior.

Question 3 of 5

The nurse is conducting a home visit to assess an elderly client with advanced heart failure who lives alone. When the nurse asks about sodium intake, the client becomes angry and says, 'I'm so tired of people telling me what to do! I'm going to eat what I want, so leave me alone!' Which of the following is the most appropriate response by the nurse?

Correct Answer: C

Rationale: Acknowledging the client's anger and inviting them to express their feelings promotes therapeutic communication, helping to de-escalate the situation and address underlying concerns.

Question 4 of 5

The nurse is caring for a hospitalized 6-month-old client. Which of the following interventions should the nurse implement to provide developmentally appropriate care for this client? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Following the home routine (
A), providing familiar toys (
B), ensuring a quiet sleep environment (
D), and offering a parent's shirt (E) promote comfort and security for a 6-month-old.

Question 5 of 5

The nurse is suctioning the tracheostomy of an adult client. The recommended pressure setting is:

Correct Answer: C

Rationale: Suction pressure of 80-120 mm Hg is recommended for adult tracheostomy suctioning to effectively remove secretions without causing trauma.

Similar Questions

The nurse enters a client's room and finds that the client and spouse are crying. The spouse states that the health care provider just diagnosed the client with Alzheimer disease. What is the best response by the nurse?
A client hospitalized with mania is racing wildly about the unit trying to organize the other clients into a game of Ping-Pong. The nurse should:
A nurse is preparing to administer 2 continuous IV medications concurrently via a 20-gauge IV. What is the nurse's priority action?
The nurse is caring for a client who is confused and is in soft wrist restraints. Which tasks can the nurse safely assign to unlicensed assistive personnel? Select all that apply.
What should be included in the care plan of a client who has myxedema?

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