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Questions 227

NCLEX-PN

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Extract:

The patient who was admitted with Emphysema was receiving oxygen at 6 L/min via nasal prong. At the beginning of the shift, during nurses' rounds, the patient was noted to be lethargic although arousable; skin is flushed and respirations were down to 8/minute.


Question 1 of 5

Priority nursing intervention would include:

Correct Answer: C

Rationale: In emphysema, high oxygen levels can suppress the respiratory drive, leading to hypoventilation. Reducing oxygen to 2 L/min is the priority to restore respiratory drive.

Extract:


Question 2 of 5

All of the following factors, when identified in the history of a family, are correlated with poverty except:

Correct Answer: D

Rationale: Poverty is associated with lack of access to preventive dental care, leading to a high incidence of dental problems. The other factors are directly correlated with poverty due to limited healthcare access and resources. Health Promotion and Maintenance

Extract:

Mr. Leon Gamett, 45-years-old, was admitted with pneumococcal pneumonia & Tuberculosis.


Question 3 of 5

Which of the following nursing action is appropriate?

Correct Answer: A

Rationale: Negative air pressure rooms prevent TB transmission, a priority intervention.

Extract:

Mrs. Jones is receiving Digoxin and Lasix daily. Today, Mrs. Jones complains of nausea and her apical pulse is 130 and irregular.


Question 4 of 5

Which of the following nursing interventions is the most appropriate?

Correct Answer: A

Rationale: Nausea and tachycardia suggest digoxin toxicity, often linked to hypokalemia from Lasix; holding digoxin and checking potassium is priority.

Extract:


Question 5 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 through the mouthpiece maximizes lung expansion and prevents atelectasis. Forceful exhalation is incorrect, use is routine (not symptom-based), and holding breath is optional but not primary.

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