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Questions 158

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

The nurse has just received a report from the previous shift.

Correct Answer: B

Rationale: Shortness of breath post-MVA suggests potential trauma (e.g., pneumothorax), requiring immediate assessment. COPD with PCO2 50 (
A) is stable, pain (
C) is less urgent, and mild fever (
D) is expected post-op.

Question 2 of 5

A client with Crohn's disease requires TPN to provide adequate nutrition. The nurse finds the TPN bag empty. What fluid would the nurse select to hang until another bag is prepared in the pharmacy?

Correct Answer: C

Rationale: D10W provides glucose to prevent hypoglycemia when TPN is interrupted, as TPN contains high dextrose. Lactated Ringers (
A), normal saline (
B), and Normosol R (
D) lack sufficient glucose.

Question 3 of 5

The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?

Correct Answer: B

Rationale: A facial stroke may impair chewing and swallowing. Soft foods like split pea soup mashed potatoes and pudding are easier to swallow and safer for a client with dysphagia. The other options include harder or chewier foods that pose a risk.

Question 4 of 5

A terrorist attack has left hundreds of patients with injuries determined to be in the immediate category as defined by NATO. The color to designate this group is:

Correct Answer: C

Rationale: In NATO triage the immediate category (requiring urgent intervention to survive) is designated by red. Black indicates deceased or expectant yellow is delayed and green is minimal.

Question 5 of 5

The nurse is performing an assessment on a client with a history of a thyroidectomy. Which finding suggests the client is experiencing hypocalcemia?

Correct Answer: A

Rationale: Hypocalcemia post-thyroidectomy (due to parathyroid damage) causes muscle twitching or tetany from low calcium levels. Nausea, chest pain, and fever are less specific.

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