NCLEX Questions, ATI NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 157

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The client with venous insufficiency tells the nurse, 'The doctor just told me about my disease and walked out of the room. What am I supposed to do?' Which statement is the nurse's best response?

Correct Answer: B

Rationale: Leg elevation reduces edema in venous insufficiency, a practical teaching point addressing the client’s question.

Question 2 of 5

Which information would be most important for the public health department nurse to obtain before giving the client condoms?

Correct Answer: C

Rationale: Latex allergies can cause severe reactions, making it critical to assess before providing condoms. Frequency, preferences, and history are secondary.

Question 3 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 4 of 5

The nurse is assessing the client with a pneumothorax who has a closed-chest drainage system. Which data indicate the client's condition is stable?

Correct Answer: A

Rationale: Fluctuation in the water-seal compartment indicates a patent system, a sign of stability in pneumothorax.

Question 5 of 5

The client has sustained severe burns on both the anterior right and left leg and the anterior chest and abdomen. According to the rule of nines, what percentage of the body has been burned?

Correct Answer: 36

Rationale: Rule of nines: anterior legs (9% each = 18%), anterior chest/abdomen (18%) = 18% + 18% = 36%.

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