NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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.

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