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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free PN NCLEX Practice Questions Questions

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:

A client who had previously signed the consent for liver biopsy has changed his mind and no longer wants the procedure.


Question 2 of 5

The best initial response by the nurse would be:

Correct Answer: B

Rationale: Exploring the reason for refusal respects the patient's autonomy and facilitates informed decision-making.

Extract:

Thrombus formation is a danger for all post operative patients. The nurse should act independently to prevent this complication by:


Question 3 of 5

The nurse should act independently to prevent this complication by:

Correct Answer: C

Rationale: In-bed exercises promote venous return, reducing the risk of thrombus formation.

Extract:


Question 4 of 5

The nurse is providing discharge teaching for a client with a history of alcoholism. Which of the following statements, if made by the client, indicates that the client understands the teaching?

Correct Answer: A

Rationale: Complete abstinence is required for alcoholism recovery, including avoiding alcohol-containing products like cough medicines, which could trigger relapse. Diluted drinks (
B) or nonalcoholic beer (
C) risk relapse due to taste cues, and stopping disulfiram prematurely (
D) increases relapse risk.

Question 5 of 5

The nurse is assessing a client with suspected rheumatoid arthritis. Which of the following findings would support this diagnosis?

Correct Answer: A

Rationale: Morning stiffness lasting over 30 minutes is a hallmark of rheumatoid arthritis due to synovial inflammation. Heberden’s nodes (
B) indicate osteoarthritis, single-joint pain (
C) suggests injury, and fever/weight loss (
D) are nonspecific without joint involvement.

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