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Questions 148

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

A client is taking nebulizer treatments for asthma, and the nurse is instructing the client in the correct method for measuring peak expiratory flow rates (PEFR) after treatment. The nurse prepares the meter with the indicator at the base of the scale. Place the following steps (Roman numerals) in the correct order from first to last.

Correct Answer: A,D,B,C

Rationale: PEFR sequence: Sit/stand (I), take deep breath (IV), place meter in mouth (II), expel air forcefully (III).

Question 2 of 5

A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?

Correct Answer: B

Rationale: Ampicillin, an antibiotic, is not indicated for chest pain, which is typically cardiac-related and treated with nitroglycerin, propranolol, or verapamil.

Question 3 of 5

A client has a chest tube in place with a three-chamber chest drainage system. The nurse notes continuous bubbling in the water seal chamber. This indicates which of the following?

Correct Answer: C

Rationale: Continuous bubbling in the water seal chamber indicates a system air leak (
C), such as a loose connection or hole in the tubing. A pneumothorax (
A) may cause intermittent bubbling, adequate suction (
B) is indicated by bubbling in the suction chamber, and incorrect tube positioning (
D) would not typically cause continuous bubbling.

Question 4 of 5

The nurse is caring for a client whose native language is Korean; he speaks only a few words of English. The health care provider has determined that the client needs to undergo a coronary artery bypass graft. Which is the appropriate action by the nurse?

Correct Answer: D

Rationale: A licensed translator ensures accurate communication and informed consent, adhering to ethical and legal standards.

Question 5 of 5

A student nurse is assigned to change a patient's dressing. The soiled bandage is saturated with bright red blood. How should the student nurse dispose of the bandage?

Correct Answer: B

Rationale: Blood-saturated bandages are biohazardous and must be disposed of in a labeled biohazard bag to prevent infection transmission.

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