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

Questions 176

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Question 1 of 5

The nurse helps the health care provider perform a thoracentesis at the bedside. In which position does the nurse place the client to facilitate needle insertion and promote comfort?

Correct Answer: D

Rationale: Upright leaning forward (
D) facilitates lung expansion and fluid access while ensuring comfort. Other positions (A, B,
C) are less effective or uncomfortable.

Question 2 of 5

The nurse is caring for a client who has congestive heart failure. Which finding indicates that her condition is getting worse?

Correct Answer: B

Rationale: A decrease in blood pressure suggests worsening cardiac output in congestive heart failure, indicating decompensation.

Question 3 of 5

The practical nurse is collaborating with the registered nurse to form a care plan for a client diagnosed with placenta previa at 33 weeks gestation. Which of the following does the nurse anticipate being included in the plan of care? Select all that apply.

Correct Answer: B, C, D

Rationale: Nonstress tests (
B), cesarean preparation (
C), and type and screen (
D) monitor and prepare for bleeding risks in placenta previa. Activity as tolerated (
A) and vaginal exams (E) increase bleeding risk.

Question 4 of 5

A client who received complete thickness burns at 7:30 a.m. was rushed to the emergency room where IV therapy with Lactated Ringer's was begun. He is to receive $8,000 \mathrm{~mL}$ of solution in 24 hours. According to the Parkland formula, how much solution should he receive by 11:30 p.m.?

Correct Answer: C

Rationale: The Parkland formula states half the total fluid (4,000 mL) is given in the first 8 hours (by 3:30 p.m.), and the remaining 4,000 mL over the next 16 hours. By 11:30 p.m. (16 hours post-burn), the client should have received 6,000 mL.

Question 5 of 5

A client reports that someone is in the room and trying to kill him. The nurse's best response is:

Correct Answer: B

Rationale: It is important to acknowledge the client's fear. The other responses deny the client's perceptions.

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