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NCLEX Practice Test PN Questions

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Question 1 of 5

When unlicensed assistive personnel (UAP) assist a client with a chest tube back to bed from the bedside commode, the plastic chest drainage unit accidentally falls over and cracks. The UAP immediately report this incident to the nurse. What is the nurse's immediate action?

Correct Answer: C

Rationale: Placing the distal end of the chest tube in sterile saline maintains a water seal, preventing air from entering the pleural space until a new drainage unit is prepared.

Question 2 of 5

A client's admission urinalysis shows the specific gravity value of 1.039. Which of the following assessment data would the nurse expect to find when assessing this client?

Correct Answer: C

Rationale: Poor skin turgor. The specific gravity value is high, indicating dehydration. Poor skin turgor (tenting of the skin) is consistent with this problem.

Question 3 of 5

The mother of 6-month-old twins is in the doctor's office because one of the infants has an ear infection. The mother says to the nurse, 'I just don't know if I can handle another problem. It is all so overwhelming.' How should the nurse respond initially?

Correct Answer: D

Rationale: Acknowledging the mother's stress and exploring her challenges builds rapport and identifies support needs. Other responses dismiss or redirect her concerns.

Question 4 of 5

The nurse is caring for assigned clients. The nurse should first check the client

Correct Answer: D

Rationale: Fever, redness, and pain around pin sites suggest a possible infection at the external fixation site, which is a priority due to the risk of osteomyelitis or systemic infection.

Question 5 of 5

A triage nurse has these 4 clients arrive in the emergency department within a 15 minute period. Which client should the triage nurse send back to be seen first?

Correct Answer: B

Rationale: A teenager who got a singed beard while camping. This client is in the greatest danger with a potential of respiratory distress, Any client with singed facial hair has been exposed to heat or fire in close range that could have caused damage to the interior of the lung. Note that the interior lining of the lung has no nerve fibers so the client will not be aware of swelling.

Similar Questions

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The nurse is caring for a client with liver cirrhosis. Which of the following assessment findings would warrant immediate follow up?
The nurse is caring for a client after a motor vehicle accident. The client's injuries include 2 fractured ribs and a concussion. The nurse notes which findings as expected neurological changes for the client with a concussion? Select all that apply.
The nurse is calculating a client's intake and output for the shift. How many mL should the nurse record as the client's net fluid balance? Record your answer using a whole number.

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