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PN NCLEX Practice Exam Questions

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Question 1 of 5

An adult client is found to be unresponsive on morning rounds. After checking for responsiveness and calling for help, the next action that should be taken by the nurse is to:

Correct Answer: D

Rationale: According to the ABCs of CPR, the first step in rescuing an unresponsive victim after checking responsiveness and calling for help is to open the victim's airway.

Question 2 of 5

Which procedures are appropriate for the nurse to use when obtaining an adult client's blood for a laboratory test? Select all that apply.

Correct Answer: A,B,C

Rationale: Avoiding the mastectomy side (
A), limiting attempts to two (
B), and drawing proximal to an IV (
C) are correct. A 15-degree angle (
D) is for IVs, not phlebotomy, and capillary samples avoid the finger pad center (E).

Question 3 of 5

A nurse is caring for an elderly client who had a colectomy for removal of cancer 2 days ago. The client is becoming increasingly restless and has been given IV morphine every 2 hours for severe pain. Respirations are 28/min and shallow. Which arterial blood gas results best indicate that the client is in acute respiratory failure and needs immediate intervention?

Correct Answer: A

Rationale: PaO2 < 50 mm Hg and PaCO2 > 50 mm Hg (
A) indicate acute respiratory failure, requiring immediate intervention. Other options show less severe hypoxemia or normal values.

Question 4 of 5

A client with chronic heart failure is being discharged home on furosemide and supplementary potassium chloride tablets. Which instructions related to the potassium supplement should the nurse reinforce to the client?

Correct Answer: D

Rationale: Potassium chloride tablets should be taken with water and the client should remain upright to prevent esophageal irritation or ulceration (
D). Protein and vitamin D (
A) do not enhance absorption, crushing tablets (
B) can cause irritation, and taking on an empty stomach (
C) is unnecessary.

Question 5 of 5

Which of the following are violations of the Health Insurance Portability and Accountability Act regarding confidentiality of privileged health information? Select all that apply.

Correct Answer: A,C,D

Rationale: Sharing pregnancy results without consent (
A), calling names publicly (
C), and disclosing a diagnosis to non-care staff (
D) violate HIPAA. Overhearing through a curtain (
B) is unintentional, and a general farewell (E) is not a violation.

Similar Questions

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The nurse is caring for a client who is experiencing the cardiac rhythm in the ECG strip shown below. The nurse should recognize that the client is experiencing
A client with a history of degenerative arthritis is being discharged home following exacerbation of chronic obstructive pulmonary disease. After reviewing the discharge medications, the nurse should reinforce which of the following topics with the client? Select all that apply.
The nurse is preparing an injection of IM haloperidol from a glass ampule. Which of the following actions by the nurse are appropriate? Select all that apply.

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