NCLEX Questions, NCLEX Trainer Test 2 Questions, NCLEX-PN Questions, Nurselytic

Questions 157

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 2 Questions

Extract:


Question 1 of 5

An adult had exploratory surgery and postoperatively had an exacerbation of asthma. The client is on a rebreathing mask and seems upset and angry. What is the best nursing approach?

Correct Answer: B

Rationale: Spending time with the client addresses emotional distress, calming them without medication or restraints, supporting asthma management.

Extract:

A student nurse caring for a client while wearing a gown and gloves in addition to following standard precautions.


Question 2 of 5

The nurse should determine that care is appropriate if the student nurse performs which of the following activities?

Correct Answer: D

Rationale: Strategy: Determine how the organism of each disease is spread. (1) requires airborne precautions, particulate respirator (2) requires droplet precautions, nurse should wear a mask (3) requires standard precautions (4) correct-requires contact precautions

Extract:


Question 3 of 5

The nurse is caring for a patient admitted two days ago with a diagnosis of closed head injury. If the patient develops diabetes insipidus, the nurse would observe which of the following symptoms?

Correct Answer: B

Rationale: signs of dehydration, increased output, low specific gravity, normal 1.010-1.030

Question 4 of 5

The nurse is planning care for an adult who has myasthenia gravis. What should be included in the care plan?

Correct Answer: B

Rationale: Myasthenia gravis causes muscle weakness, risking aspiration; checking gag and swallowing reflexes before eating ensures safety, unlike bathing or activity timing.

Extract:

A client is diagnosed with lung cancer and undergoes a pneumonectomy.


Question 5 of 5

In the immediate postoperative period, which of the following nursing assessments is MOST important?

Correct Answer: B

Rationale: Strategy: Determine how each answer choice relates to a pneumonectomy. (1) on the surgical side, breath sounds will be absent (2) correct-position of the trachea should be evaluated; with a tracheal shift, an increase in pressure could occur on the operative side and could cause pressure against the mediastinal area (3) important to observe but not as high a priority (4) does not relate to the situation

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