Questions 150

NCLEX-RN

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Question 1 of 5

A client with a history of pancreatitis is admitted with abdominal pain. The nurse should expect which of the following laboratory findings?

Correct Answer: A

Rationale: Elevated amylase and lipase are hallmark laboratory findings in pancreatitis due to pancreatic enzyme release.

Question 2 of 5

A client with a history of peptic ulcer disease is admitted to the hospital. Initial assessment reveals that his blood pressure is 96/60 mm Hg, his pulse rate is 120 bpm, and he has vomited coffee-ground material. Based on this assessment, what is the nurse's priority action?

Correct Answer: D

Rationale: The symptoms suggest gastrointestinal bleeding, and the modified Trendelenburg position helps maintain cerebral perfusion in hypovolemic shock.

Question 3 of 5

Which of the following nursing interventions would best accomplish the goal of preventing atelectasis and pneumonia in a postoperative client?

Correct Answer: B

Rationale: Pain control is essential to enable effective deep breathing and incentive spirometry, which prevent atelectasis and pneumonia by promoting lung expansion. Oxygen and fluid intake are supportive but secondary.

Question 4 of 5

The nurse is caring for a client with a chest tube in place for a pneumothorax. Which of the following findings indicates that the chest tube is functioning properly?

Correct Answer: C

Rationale: Fluctuation (tidaling) in the drainage tube with respiration indicates the chest tube is patent and functioning to remove air or fluid.

Question 5 of 5

Which of the following is NOT an essential minimal component of the teaching that occurs prior to getting an informed consent?

Correct Answer: D

Rationale: Essential components of informed consent include the purpose , expected outcomes , and who will perform the procedure . The specific timing is not a required minimal component.

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