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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with an acute exacerbation. Which oxygen delivery method is most appropriate for this client?

Correct Answer: C

Rationale: A Venturi mask delivers precise oxygen concentrations, which is critical for COPD clients to avoid suppressing their hypoxic drive.

Question 2 of 5

A depressed client tells the nurse, 'No one really cares whether I live or die.' What is the nurse's most appropriate response?

Correct Answer: D

Rationale: Reflecting the client's feelings fosters therapeutic communication and validates their emotions without judgment.

Question 3 of 5

Which culturally sensitive nursing technique is best for determining whether a male Jewish client follows the religious orthodox customs?

Correct Answer: B

Rationale: Inquiring about dietary preferences (e.g., kosher laws) is a sensitive way to assess adherence to Orthodox Jewish customs.

Question 4 of 5

During the first stage of a client's labor, the nurse finds that the fetal heart rate decreases during a contraction and returns to normal at the end of the contraction. Which action is the most appropriate in response to the assessment finding?

Correct Answer: A

Rationale: A temporary fetal heart rate decrease during contractions (early deceleration) is normal, indicating head compression, and requires no action.

Question 5 of 5

A client with a burn injury is at risk for infection. Which nursing action is most effective in preventing infection?

Correct Answer: A

Rationale:
Topical antibiotics directly prevent bacterial growth in burn wounds, reducing infection risk.

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