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NCLEX-PN

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Extract:


Question 1 of 5

An IV is infusing at 30 gtt/min. If the drop factor is 20 gtt/mL, what would this rate of flow equal in mL/h?

Correct Answer: D

Rationale: (30 gtt/min ÷ 20 gtt/mL) × 60 min/h = 90 mL/h. Other options are incorrect calculations.

Question 2 of 5

Ashley and her boyfriend Chris, both 19 years old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating. The nurse should assess Ashley's level of anxiety as:

Correct Answer: C

Rationale: Ashley's symptoms, including confusion, dizziness, nausea, rapid pulse, and hyperventilation, indicate severe anxiety, characterized by somatic symptoms and impaired problem-solving. Mild or moderate anxiety would present with less intense symptoms, and panic would involve loss of reality. Psychosocial Integrity

Question 3 of 5

The nurse is working in a high risk antepartum clinic. A 40 year-old woman in the first trimester gives a thorough health history. Which information should receive priority attention by the nurse?

Correct Answer: D

Rationale: Over-the-counter drugs are a possible danger in early pregnancy. A report by the client that she has taken medications should be followed up immediately.

Extract:

Kussmaul breathing:


Question 4 of 5

Kussmaul breathing:

Correct Answer: D

Rationale: Kussmaul breathing is a rapid, deep pattern compensating for metabolic acidosis.

Extract:

A patient is getting discharged from a long term facility. The patient has a history of severe COPD and PVD. The patient is primarily concerned about their ability to breathe easily.


Question 5 of 5

Which of the following would be the best instruction for this patient?

Correct Answer: A

Rationale: Deep breathing techniques improve oxygenation, critical for COPD patients.

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