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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). Which of the following interventions should be implemented

Correct Answer: D

Rationale: Positioning in high Fowler’s promotes lung expansion and eases breathing immediately in COPD. Bronchodilators, pursed-lip breathing, and oxygen adjustments are secondary, requiring orders or more time.

Extract:

One of the following is not a symptom of the patient with right sided heart failure:


Question 2 of 5

Weight gain

Correct Answer: C

Rationale: Right-sided heart failure causes jugular vein distension, not flattened neck veins.

Extract:


Question 3 of 5

Which of the following nursing assessments for an infant is most valuable in identifying serious visual defects?

Correct Answer: A

Rationale: Red reflex test. A uniform red reflex rules out most serious defects of the cornea, lens, and vitreous chamber.

Question 4 of 5

The nurse is having difficulty reading the health care provider's written order that was left just before the shift change. What action should be taken?

Correct Answer: D

Rationale: Relying on anyone else's interpretation is very risky. When in doubt, check it out with the person who wrote the difficult-to-read order.

Question 5 of 5

A client with abdominal surgery is admitted to the recovery room with an NG tube to low suction. Which of the following lab values indicates a complication of NG suction?

Correct Answer: B

Rationale: NG suction can lead to loss of gastric fluid, causing hypernatremia (elevated sodium, as seen with Na 150 mEq/L) due to dehydration and electrolyte imbalance.

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