NCLEX Questions, NCLEX Practice Test PN Questions, NCLEX-PN Questions, Nurselytic

Questions 164

NCLEX-PN

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NCLEX Practice Test PN Questions

Extract:


Question 1 of 5

An adult is receiving nasal oxygen at 6 L/min. The client asks the nurse why the oxygen is humidified. What should the nurse include when responding to the client?

Correct Answer: C

Rationale: Humidification prevents nasal mucosal drying and discomfort at higher oxygen flow rates like 6 L/min, not fire prevention, concentration increase, or bacterial reduction.

Question 2 of 5

The nurse hears another staff member talking in a crowded elevator about a client on the unit. The client is identified by name and details of illness. What action should the practical nurse take at this time?

Correct Answer: D

Rationale: Speaking to the staff member privately after the elevator ride addresses the HIPAA violation discreetly, promoting education and correction without immediate escalation.

Question 3 of 5

The nurse is caring for a 31-year-old gravida 2, para 1 woman who is in labor. The woman calls the nurse and says, 'My water has broken and I feel something between my legs.' The nurse looks and sees a loop of umbilical cord at the vaginal outlet. After signaling for help, what should the nurse do?

Correct Answer: B

Rationale: Knee-chest position relieves pressure on the prolapsed umbilical cord, maintaining fetal oxygenation until emergency delivery. Replacing the cord or pressing the fundus worsens the situation.

Question 4 of 5

What is the major developmental task that the mother must accomplish during the first trimester of pregnancy?

Correct Answer: A

Rationale: Acceptance of the pregnancy. During the first trimester the maternal focus is directed toward acceptance of the pregnancy and adjustment to the minor discomforts.

Extract:

Laboratory reference ranges
Glucose (random)
71-200 mg/dL
(3.9–11.1 mmol/L)


Question 5 of 5

The nurse is caring for assigned clients. Which of the following clients should the nurse check first?

Correct Answer: C

Rationale: A blood glucose level of 55 mg/dL indicates severe hypoglycemia, a life-threatening condition requiring immediate intervention to prevent seizures or coma.

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