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Questions 164

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

A client who is scheduled for surgery today says to the nurse, 'Do you think I'll survive the surgery?' What is the best initial response for the nurse to give?

Correct Answer: B

Rationale: Exploring concerns validates the client's fears, fostering trust and addressing anxiety therapeutically.

Question 2 of 5

The nurse is observing a nursing assistant providing care. Which action indicates that the nursing assistant understands universal precautions?

Correct Answer: C

Rationale: Wearing a gown for soiled linen contact adheres to universal precautions, preventing contamination. Limited hand washing, excessive gloves, or no hand washing post-gloves are incorrect.

Question 3 of 5

Which of the following beverages is most appropriate for a client with renal failure?

Correct Answer: C

Rationale: Apple juice is most appropriate for a client with renalrape juice has a lower potassium content, which is crucial for renal failure patients who need to limit potassium intake. Prune, grape, and apricot juices are high in potassium, which can be harmful in renal failure.

Question 4 of 5

The hospital nurse administers CPR to an adult male who is found unconscious, has no pulse, and is not breathing. What is the ratio of chest compressions to respirations for one-person rescue?

Correct Answer: C

Rationale: Current CPR guidelines recommend 30 chest compressions to 2 breaths for one-person adult resuscitation, optimizing circulation and oxygenation.

Question 5 of 5

A nurse at outpatient clinic is returning phone calls that have been made to the clinic. Which of the following calls should have the highest priority for medical intervention?

Correct Answer: B

Rationale: The patient experiencing neurovascular changes should have the highest priority. Pain following a TKR is normal, and breakdown over the heels is a gradual process. Moreover, a subacute ankle sprain is almost never a medical emergency.

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