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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

Negative pressure in the pleural space is indicated by

Correct Answer: B

Rationale: Negative pressure in the water-seal chamber maintains lung expansion.

Extract:


Question 2 of 5

A nurse is teaching a patient about the use of an incentive spirometer. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Inhaling slowly and deeply maximizes lung expansion, preventing atelectasis. Exhaling forcefully is incorrect, use is routine, and holding breath is secondary.

Question 3 of 5

Which of the following would be the best strategy for the nurse to use when teaching insulin injection techniques to a newly diagnosed client with diabetes?

Correct Answer: D

Rationale: Observe a return demonstration. This is the best way to confirm the client has learned the proper psychomotor skill.

Extract:

Which of the following types of diet is implicated in the development of diverticulosis?


Question 4 of 5

Which of the following types of diet is implicated in the development of diverticulosis?

Correct Answer: A

Rationale: A low-fiber diet increases colon pressure, contributing to diverticulosis formation.

Extract:


Question 5 of 5

Which nursing action is essential when providing continuous enteral feeding?

Correct Answer: A

Rationale: Elevating the head of the bed at least 30 degrees during enteral feeding minimizes the risk of aspiration and allows the formula to flow into the client's intestines. When such elevation is contraindicated, the client should be positioned on the right side. The nurse should give enteral feedings at room temperature to minimize GI distress.
To limit microbial growth, the nurse should hang only the amount of formula that can be infused in 8 hours.

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