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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free PN NCLEX Practice Questions Questions

Extract:

A patient who sustained massive internal injuries in a car crash becomes hypotensive and develops acute renal failure.


Question 1 of 5

Which acid-base imbalance is he most likely to experience?

Correct Answer: B

Rationale: Renal failure causes metabolic acidosis due to impaired acid excretion.

Extract:

A diet rich in calcium over a lifetime will decrease the risk of


Question 2 of 5

Heart disease

Correct Answer: B

Rationale: A diet rich in calcium over a lifetime will decrease the risk of osteoporosis by strengthening bones.

Extract:


Question 3 of 5

A client, age 21, is admitted with bacterial meningitis. Which hospital room would be the appropriate choice for this client?

Correct Answer: B

Rationale: A client with bacterial meningitis should be kept in isolation for at least 24 hours after admission and, during the initial acute phase, should be as close to the nurses' station as possible to allow maximal observation. Placing the client in a room with a client who has viral meningitis may cause harm to both clients because the organisms causing viral and bacterial meningitis differ; either client may contract the other's disease. Immunity to bacterial meningitis can't be acquired; therefore, a client who previously had bacterial meningitis shouldn't be put at risk by rooming with a client who has just been diagnosed with this disease.

Extract:

A newly diagnosed HIV patient is in your care. The patient has a positive PPD result of 5 mm induration and a normal CXR.


Question 4 of 5

Which of the following represents preferred treatment of this patient?

Correct Answer: A

Rationale: INH with pyridoxine is the standard treatment for latent TB in HIV patients with a positive PPD.

Extract:

John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.


Question 5 of 5

Appropriate patient teaching when the chest tube is removed:

Correct Answer: A

Rationale: Holding a deep breath during removal prevents air entry into the pleural space.

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