NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client with asthma develops respiratory acidosis. Based on this diagnosis, what should the nurse expect the client's serum potassium level to be?
Correct Answer: B
Rationale: Respiratory acidosis causes potassium to shift from cells to the bloodstream, leading to hyperkalemia. This is a compensatory response to acid-base imbalance. Physiological Adaptation
Question 2 of 5
Which of the following nursing actions has the HIGHEST priority for a teenager admitted with burns to 50% of his body?
Correct Answer: C
Rationale: Severe burns (50% of the body) significantly increase the risk of infection due to loss of skin barrier. Maintaining aseptic technique during procedures is the highest priority to prevent life-threatening infections. Counseling (
A) and peer visits (
D) address psychosocial needs, which are secondary, and airborne precautions (
B) are unnecessary (standard precautions suffice).
Question 3 of 5
The parents of a child who has recently been diagnosed with asthma ask the nurse to explain the condition to them. The best response is 'Asthma causes
Correct Answer: A
Rationale: the airway to become narrow and obstructs airflow. Asthma is defined as airway obstruction or a narrowing that is characterized by bronchial irritability after exposure to various stimuli.
Question 4 of 5
The nurse is caring for a client with a chest tube connected to a water-seal drainage system. The nurse observes continuous bubbling in the water-seal chamber. The nurse should
Correct Answer: A
Rationale: Continuous bubbling in the water-seal chamber indicates an air leak in the system (e.g., loose connections or lung leak), requiring assessment to locate and correct it. Increasing suction (
B) won’t fix the leak, clamping (
C) is dangerous, and notifying the physician (
D) follows assessment.
Question 5 of 5
Which finding, if present, should the nurse interpret to mean that dialysis has achieved the desired results?
Correct Answer: B
Rationale: A drop in blood pressure indicates successful fluid removal during dialysis, a primary goal. Weight gain, urine output, or normal glucose are not direct indicators of dialysis efficacy.