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

Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is assessing a client with suspected pulmonary edema. Which finding is most indicative?

Correct Answer: A

Rationale: Frothy, pink-tinged sputum is a classic sign of pulmonary edema due to fluid in the alveoli.

Question 2 of 5

If a client has been taking corticosteroid medication for a prolonged period, which statement provides the best indication that the danger related to this medication is understood?

Correct Answer: A

Rationale: Abruptly stopping corticosteroids can cause adrenal insufficiency, a life-threatening condition, indicating the client understands this risk.

Question 3 of 5

The nurse is assessing a client with suspected pulmonary edema. Which finding is most indicative?

Correct Answer: A

Rationale: Frothy, pink-tinged sputum is a classic sign of pulmonary edema due to fluid in the alveoli.

Question 4 of 5

During the first stage of a client's labor, the nurse finds that the fetal heart rate decreases during a contraction and returns to normal at the end of the contraction. Which action is the most appropriate in response to the assessment finding?

Correct Answer: A

Rationale: A temporary fetal heart rate decrease during contractions (early deceleration) is normal, indicating head compression, and requires no action.

Question 5 of 5

A depressed client tells the nurse, 'No one really cares whether I live or die.' What is the nurse's most appropriate response?

Correct Answer: D

Rationale: Reflecting the client's feelings fosters therapeutic communication and validates their emotions without judgment.

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