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Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is caring for a client receiving supplemental oxygen. The effectiveness of the oxygen therapy is best determined by:

Correct Answer: C

Rationale: Arterial blood gases provide a direct measure of oxygenation and are the most accurate way to evaluate the effectiveness of oxygen therapy.

Question 2 of 5

Which of the following best describes the language of a 24-month-old?

Correct Answer: C

Rationale: A 24-month-old can verbalize needs using simple words or phrases, reflecting their developing language skills.

Question 3 of 5

The nurse is teaching the mother of a child with cystic fibrosis how to do chest percussion. The nurse should tell the mother to:

Correct Answer: D

Rationale: Cupped hands during chest percussion create a vibration that helps loosen mucus in cystic fibrosis without causing injury.

Question 4 of 5

The client is admitted to the unit after a motor vehicle accident with a temperature of 102°F rectally. The most likely explanations for the elevated temperature is that:

Correct Answer: B

Rationale: Infection from abrasions is the most likely cause of fever post-accident, as it's a common complication.

Question 5 of 5

The physician has ordered a paracentesis for a client with severe abdominal ascites. Before the procedure, the nurse should:

Correct Answer: A

Rationale: Providing a urinal allows the client to empty their bladder, reducing the risk of bladder puncture during paracentesis.

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