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:


Question 1 of 5

In teaching clients with Buck's Traction, the major areas of importance should be:

Correct Answer: C

Rationale: Nutrition, elimination, comfort, and safety are critical for clients in Buck's traction to prevent complications like pressure ulcers or constipation. ROM and isotonic exercises may not be feasible. Basic Care and Comfort

Extract:

Francis went into diabetic coma.


Question 2 of 5

The nurse may observe which one as typical manifestation(s) of ketoacidosis:

Correct Answer: B

Rationale: Deep, rapid respirations are the body's effort to get rid of excess acid through breathing, a hallmark of ketoacidosis.

Extract:


Question 3 of 5

The nurse is caring for a client with a chest tube connected to a water-seal drainage system. The nurse observes continuous bubbling in the water-seal chamber. The nurse should

Correct Answer: A

Rationale: Continuous bubbling in the water-seal chamber indicates an air leak in the system (e.g., loose connections or lung leak), requiring assessment to locate and correct it. Increasing suction (
B) won’t fix the leak, clamping (
C) is dangerous, and notifying the physician (
D) follows assessment.

Extract:

A client with tuberculosis has been receiving INH as part of the chemotherapeutic therapy protocol.


Question 4 of 5

During a subsequent clinic visit the nurse should recognize that prompt intervention is required when the client develops

Correct Answer: A

Rationale: Yellow sclera indicates jaundice, a sign of INH-induced hepatotoxicity requiring immediate intervention.

Extract:


Question 5 of 5

An adult is admitted to a detoxification unit for withdrawal from alcohol. Which medication does the nurse expect will be ordered for the client upon admission?

Correct Answer: A

Rationale: Thiamin (vitamin B1) prevents Wernicke's encephalopathy, a common complication in alcohol withdrawal due to deficiency.

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