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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:

John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.


Question 1 of 5

Appropriate patient teaching when the chest tube is removed:

Correct Answer: A

Rationale: Holding a deep breath during removal prevents air entry into the pleural space.

Extract:


Question 2 of 5

Following the death of a client, a nursing assistant begins to cry uncontrollably and is unable to provide care for the other assigned clients. The nurse should:

Correct Answer: D

Rationale: Encouraging the nursing assistant to express feelings supports emotional processing and professional growth. Sending her home or to the lounge avoids the issue. Coping lectures are dismissive.

Extract:

You were about to give AM care, a patient requested for pain medication after returning from surgery 24 hours ago.


Question 3 of 5

What do you do first?

Correct Answer: C

Rationale: Vital signs must be assessed before administering pain medication to ensure the patient is stable and to establish a baseline.

Extract:


Question 4 of 5

The client states, 'My discharge plan leaves me with a lot to do. I don't think I can do it. I'm never good at doing things.' The nurse knows the client lacks:

Correct Answer: D

Rationale: Expressing doubt in ability to manage the discharge plan indicates low self-efficacy, a belief in one's capacity to execute tasks.

Question 5 of 5

A client with seizure disorder is to receive Dilantin (Phenytoin) and Phenobarbital. The nurse knows that when she administers Phenobarbital and Dilantin (Phenytoin):

Correct Answer: A

Rationale: Phenytoin induces liver enzymes, potentially reducing phenobarbital levels, so a larger dose of phenobarbital may be needed.

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