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
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 3 of 5
A nurse is assessing an elderly patient for signs of dehydration. Which of the following findings is most indicative of dehydration?
Correct Answer: A
Rationale: Dry mucous membranes are a classic sign of dehydration, reflecting fluid loss. Increased urine output, hypertension, and weight gain suggest fluid overload or other conditions, not dehydration.
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 4 of 5
Important patient teaching on chest tube due to pneumothorax will include
Correct Answer: A
Rationale: Intermittent bubbling is normal in pneumothorax, indicating air evacuation.
Extract:
This is a 45-year-old patient who lost large amount of blood due to gunshot wound (GSW) on the thigh and abdomen. The patient develops hypotension while receiving transfusion.
Question 5 of 5
Which of the following other symptoms, if seen in this patient, would be most significant in terms of realizing that a potential complication is occurring?
Correct Answer: B
Rationale: Back pain in a blood transfusion reaction indicates kidney involvement, a significant complication requiring immediate attention.