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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Question 1 of 5

A young boy is recently diagnosed with a seizure disorder. Which of the following statements by the boy's mother indicates a need for further teaching by the nurse?

Correct Answer: C

Rationale: Laying a seizing child on their back risks aspiration; the correct position is on the side. The other statements reflect appropriate seizure management. Reduction of Risk Potential

Question 2 of 5

The nurse observes a LPN/LVN perform a wet-to-dry dressing change on a 2-inch abdominal incision. Which of the following behaviors, if performed by the LPN/LVN, would indicate an understanding of proper technique?

Correct Answer: C

Rationale: Wet-to-dry dressings should have wet gauze packed into the incision without overlapping onto the skin to prevent skin breakdown. Cleansing (
A) should be from the center outward, dressings (
B) are soaked before packing, and old dressings (
D) are removed dry to debride the wound.

Question 3 of 5

Which of the following injuries, if demonstrated by a client entering the Emergency Department, is the highest priority?

Correct Answer: C

Rationale: A stab wound to the chest is the highest priority due to potential for pneumothorax or mediastinal shift, which can be life-threatening. The ABC (airway, breathing, circulation) principle prioritizes this injury. Physiological Adaptation

Question 4 of 5

The client's blood gas values are: pH=7.35; CO2=60; HCO3=34; and pO2=60. The nurse correctly interprets these to indicate that the client is in which state?

Correct Answer: A

Rationale: Normal pH with elevated CO2 and HCO3 indicates compensated respiratory acidosis, where kidneys retain bicarbonate to balance chronic CO2 retention.

Question 5 of 5

What is the appropriate ratio of cardiac compressions to ventilations in an adult client for one-person CPR?

Correct Answer: C

Rationale: The appropriate ratio for adult CPR is 15 compressions to 2 ventilations.

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