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Questions 157

NCLEX-PN

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Question 1 of 5

The client is admitted to the intensive care unit diagnosed with rule-out adult respiratory distress syndrome (ARDS). The client is receiving 10 L/min of oxygen via nasal cannula. Which arterial blood gases indicate the client does not have ARDS?

Correct Answer: A

Rationale: Normal ABGs (pH 7.38, PaO2 82) rule out ARDS, which causes severe hypoxemia (PaO2 <60).

Question 2 of 5

Which information should the nurse discuss with the client to prevent an acute exacerbation of diverticulosis?

Correct Answer: A

Rationale: High fiber prevents diverticulosis exacerbations by promoting regular bowel movements, per AGA guidelines.

Question 3 of 5

The unlicensed assistive personnel (UAP) notices a strange amulet pinned to the client's gown and offers to remove it. The client does not want it removed. Which rationale should the nurse give the UAP for allowing the client to continue to wear the amulet?

Correct Answer: C

Rationale: The amulet likely provides emotional or spiritual support, respecting patient-centered care. Calling it superstitious, silly, or worthless is dismissive and culturally insensitive.

Question 4 of 5

The client diagnosed with peptic ulcer disease is being discharged. Which nursing task can be delegated to a trained unlicensed assistive personnel (UAP)?

Correct Answer: C

Rationale: Cleaning the room is within UAP scope, unlike teaching, IV removal, or lab monitoring.

Question 5 of 5

The nurse and the unlicensed assistive personnel (UAP) are caring for clients on a medical floor. Which nursing task could be delegated to the UAP?

Correct Answer: C

Rationale: Routine vital sign collection is within UAP scope, unlike post-medication BP, HCP notification, or lab discussions.

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