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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

Right documentation includes the name, dosage, route, and time of administration. When should you sign your initials on the medication administration record?

Correct Answer: B

Rationale: Signing immediately after administration confirms the dose was given, ensuring accurate documentation. Signing before risks errors, and waiting an hour delays accuracy.

Extract:

The problem with sensory recognition is called


Question 2 of 5

The problem with sensory recognition is called

Correct Answer: C

Rationale: Agnosia is the inability to recognize sensory input, such as objects or sounds.

Extract:


Question 3 of 5

The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about energy conservation. Which of the following strategies should the nurse recommend?

Correct Answer: B

Rationale: Using a shower chair conserves energy by reducing exertion during bathing, a taxing activity for COPD patients. Morning activity (
A) may not suit all, pursed-lip breathing (
C) aids respiration, and quick walking (
D) increases oxygen demand.

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 4 of 5

The level of the water in the water-seal chamber is at

Correct Answer: A

Rationale: The water-seal chamber is maintained at 2 cm to prevent air entry.

Extract:


Question 5 of 5

A nurse is caring for a client who had a closed reduction of a fractured right wrist followed by the application of a fiberglass cast 12 hours ago. Which finding requires the nurse's immediate attention?

Correct Answer: C

Rationale: Client reports prickling sensation in the right hand. A prickling sensation is an indication of compartment syndrome and requires immediate action by the nurse. The other findings are normal for a client in this situation.

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