NCLEX Questions, Mock NCLEX RN Exam Questions, NCLEX-RN Questions, Nurselytic

Questions 158

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Extract:


Question 1 of 5

The client is diagnosed with a tension pneumothorax. Which intervention should the nurse anticipate?

Correct Answer: C

Rationale: Tension pneumothorax, a medical emergency, requires needle decompression to relieve pressure on the lung and mediastinum, followed by chest tube insertion. Oxygen and bronchodilators are secondary.

Question 2 of 5

The nurse is caring for a client with a history of type 2 diabetes. The nurse should expect the client to have:

Correct Answer: A

Rationale: Type 2 diabetes causes hyperglycemia, leading to polyuria due to osmotic diuresis.

Question 3 of 5

Which task should be delegated to the licensed practical nurse?

Question Image

Correct Answer: A, B, D, E

Rationale: LPNs can administer subcutaneous heparin (
A), feed via PEG tube (
B), monitor chest tubes (
D), and perform tracheostomy care (E). Removing a PICC line (
C) requires RN-level expertise due to potential complications.

Question 4 of 5

The nurse is caring for a client with a history of myasthenia gravis. Which medication should the nurse anticipate being prescribed?

Correct Answer: A

Rationale: Pyridostigmine, a cholinesterase inhibitor, is used to treat myasthenia gravis by improving neuromuscular transmission. The other medications are for seizures, hypertension, or arthritis, not myasthenia.

Question 5 of 5

A child with croup is placed in a cool, high-humidity tent connected to room air. The primary purpose of the high-humidity tent is to:

Correct Answer: D

Rationale: High-humidity tents in croup moisten airways, liquefying secretions and relieving laryngeal spasms, easing breathing. Oxygen levels are not necessarily 30%, and dehydration or fever is secondary.

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