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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The nurse is assessing a client with a history of asthma who presents with decreased breath sounds and prolonged expiration. The nurse should prioritize which of the following actions?

Correct Answer: A

Rationale: Decreased breath sounds and prolonged expiration indicate an asthma exacerbation with bronchoconstriction, requiring a bronchodilator to open airways. Coughing (
B) is ineffective during an attack, X-rays (
C) are diagnostic, and supine positioning (
D) worsens breathing.

Extract:

The nurse administers prescribed pancreatin replacement therapy to Bonnie.


Question 2 of 5

To effectively evaluate the effect of this treatment, should expect that this medication will result to

Correct Answer: B

Rationale: Pancreatin aids fat digestion, resulting in near-normal stools in pancreatic insufficiency.

Extract:


Question 3 of 5

A client has been on antibiotics for 72 hours for cystitis. Which report from the client requires priority attention by the nurse?

Correct Answer: C

Rationale: Elevated temperature after 72 hours on an antibiotic indicates the antibiotic has not been effective in eradicating the offending organism. The provider should be informed immediately so that an appropriate medication can be prescribed, and complications such as pyelonephritis are prevented.

Question 4 of 5

Steam inhalation is prescribed for a client. Which of the following safety precautions should the nurse include in the client's instructions?

Correct Answer: C

Rationale: Turning off the humidifier when not in use prevents electrical hazards and bacterial growth. Distilled water is ideal but not critical, overfilling is unnecessary, and cleaning frequency depends on use.

Question 5 of 5

Which statement describes factors that help build personal power in an organization?

Correct Answer: B

Rationale: Networking, mentoring, and coalition building are positive uses of personal power to meet goals.

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