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NCLEX Practice Questions PN Questions

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Question 1 of 5

The nurse is caring for a hospitalized client. Which is the best example of narrative documentation to provide legal malpractice protection for the nurse after an adverse event?

Correct Answer: C

Rationale: Detailed, objective documentation (
C) with times, actions, and follow-up plans provides the best legal protection. Options A, B, and D include assumptions, vague details, or irrelevant information.

Question 2 of 5

The nurse is caring for a client with polycythemia vera. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A, B, C

Rationale: Increased fluids (
A), phlebotomy (
B), and aspirin (
C) manage polycythemia vera by reducing blood viscosity and clotting risk. Leg elevation (
D) is irrelevant, and iron supplementation (E) worsens the condition.

Question 3 of 5

The practical nurse is assisting with care for several newborns in the nursery. Which of the following findings are abnormal and need to be reported to the registered nurse? Select all that apply.

Correct Answer: A, D, E

Rationale: Chest retractions (
A), jaundice (
D), and no voiding (E) are abnormal and require reporting. Flaking skin (
B) and head circumference (
C) are normal for newborns.

Question 4 of 5

The nurse enters an infant's room and observes that the infant is responsive but is choking and turning blue. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Back slaps and chest thrusts (
C) are the appropriate intervention for a choking infant. CPR (
A) is for cardiac arrest, abdominal thrusts (
B) are for older children, and blind sweeps (
D) are dangerous.

Question 5 of 5

A client with a pyloric obstruction is admitted to the hospital with vomiting. Which of the following blood gases would the nurse expect to see in the client with vomiting?

Correct Answer: B

Rationale: Vomiting causes loss of hydrochloric acid, leading to metabolic alkalosis, indicated by a high pH (7.50) and normal to low PCO2.

Similar Questions

The nurse is caring for a client with tuberculosis who is on airborne isolation precautions. The nurse can delegate which tasks to experienced unlicensed assistive personnel? Select all that apply.
The nurse is preparing to administer a sodium polystyrene sulfonate retention enema. Which explanation by the nurse best describes the purpose of this type of enema?
The nurse is preparing to administer several medications through a client's feeding tube. None of the medications are extended release. Which of the following actions should the nurse implement? Select all that apply.
Which statement by a parent would alert the nurse to assess for iron deficiency anemia in a 14 month-old child?
Which of the following clients does the nurse identify as being at high risk for developing colorectal cancer? Select all that apply.

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