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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

The nurse observes a nursing assistant assigned to a client who just returned from having a bronchoscopy. Which action by the nursing assistant would prompt the nurse to intervene?

Correct Answer: B

Rationale: After a bronchoscopy, the client is at risk for airway compromise due to anesthesia or swelling. Offering water before the gag reflex returns can lead to aspiration, requiring intervention.

Question 2 of 5

If a client with a conductive hearing loss asks the nurse how a hearing aid improves hearing, which response by the nurse is most appropriate?

Correct Answer: A

Rationale: Conductive hearing loss involves impaired sound transmission to the inner ear. A hearing aid amplifies sounds, making them louder and easier to hear.

Question 3 of 5

After being off for the holiday, a nurse returns to work and attempts to log on to the computer to document care for a client. The nurse tries to log on, but both times the computer will not grant access. The nurse rechecks the password and finds it correct. Which action by the nurse is most appropriate in this circumstance?

Correct Answer: C

Rationale: Calling technical support ensures the issue is resolved appropriately without compromising security or documentation integrity.

Question 4 of 5

The nurse is teaching a client about managing hypertension. Which instruction is most appropriate?

Correct Answer: A

Rationale: Limiting sodium to 2 g/day helps reduce blood pressure in hypertension.

Question 5 of 5

Which nursing action best determines if a client has a fecal impaction?

Correct Answer: D

Rationale: A digital rectal exam directly confirms the presence of hard, impacted stool in the rectum.

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