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Questions 227

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Free NCLEX-PN Practice Questions Questions

Extract:

Kussmaul breathing:


Question 1 of 5

Kussmaul breathing:

Correct Answer: D

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

Extract:


Question 2 of 5

Which of the following statements regarding wound healing is correct?

Correct Answer: C

Rationale: Third intention healing involves delayed closure of a wound, allowing it to heal from the inside out, often used for contaminated wounds.

Question 3 of 5

The nurse is caring for a client who underwent a mastectomy 24 hours ago. Which of the following interventions should the nurse prioritize?

Correct Answer: A

Rationale: Encouraging arm exercises prevents lymphedema and restores mobility post-mastectomy. Dependent positioning (
B) increases edema, heating pads (
C) risk tissue damage, and fluid restriction (
D) is unnecessary and harmful.

Extract:

The maximum safe height at which the container of fluid can be held when administering an enema is:


Question 4 of 5

The maximum safe height at which the container of fluid can be held when administering an enema is:

Correct Answer: C

Rationale: 45 cm (18 inches) ensures safe pressure to avoid bowel injury during an enema.

Extract:


Question 5 of 5

The nurse is caring for a client who had a cholecystectomy 24 hours ago. The client reports nausea and has not had a bowel movement since surgery. The nurse should

Correct Answer: A

Rationale: Nausea post-cholecystectomy may be due to anesthesia or pain medication, and an ordered antiemetic addresses this symptom promptly. Ambulation (
B) and high-fiber diet (
C) promote bowel movement but don’t address nausea, and notification (
D) is unnecessary unless symptoms persist or worsen.

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