NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

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

Important patient teaching on chest tube due to pneumothorax will include

Correct Answer: A

Rationale: Intermittent bubbling is normal in pneumothorax, indicating air evacuation.

Extract:

In caring for a patient with ALS (Amyotrophic Lateral Sclerosis)


Question 2 of 5

In caring for a patient with ALS (Amyotrophic Lateral Sclerosis), the nursing diagnosis with the HIGHEST priority would be:

Correct Answer: C

Rationale: Ineffective airway clearance is the highest priority due to risk of respiratory failure in ALS.

Extract:


Question 3 of 5

The nurse collects data on a client shortly after kidney transplant surgery. Which postoperative finding must the nurse report to the physician immediately?

Correct Answer: D

Rationale: Because kidney transplantation carries the risk of transplant rejection, infection, and other serious complications, the nurse should monitor the client's urinary function closely. A decrease from the normal urine output of 30 ml/hour is significant and warrants immediate physician notification. The other options are normal data collection findings.

Question 4 of 5

The nurse is assessing a client with a suspected urinary tract infection (UTI). Which of the following symptoms would the nurse expect to find?

Correct Answer: A

Rationale: Burning on urination (dysuria) is a hallmark symptom of a UTI due to bladder mucosal irritation. Flank pain (
B) suggests kidney stones or pyelonephritis, vomiting/diarrhea (
C) indicate gastroenteritis, and chest pain (
D) is unrelated.

Extract:

Which of the following conditions indicate adrenal insufficiency in a critically ill patient?


Question 5 of 5

Hypoglycemia and hyperkalemia.

Correct Answer: A

Rationale: Due to decreased cortisol (anti-insulin) and decreased aldosterone (sodium) levels in Addison's disease, the patient experiences hypoglycemia and hyperkalemia.

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