NCLEX Questions, NCLEX-PN Practice Questions PDF Questions, NCLEX-PN Questions, Nurselytic

Questions 160

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

Which assessment finding provides the best evidence that a client remains adequately oxygenated while a tracheostomy is suctioned?

Correct Answer: C

Rationale: Remaining alert during suctioning indicates adequate oxygenation, as hypoxia would cause altered mental status.

Question 2 of 5

If the physician orders 'diet as tolerated' for a client the evening of surgery, which diet is most appropriate initially?

Correct Answer: C

Rationale: A clear liquid diet is easiest to digest and minimizes gastrointestinal stress, making it appropriate to start post-surgery.

Question 3 of 5

A client with a history of glaucoma is prescribed timolol eye drops. Which instruction should the nurse include?

Correct Answer: A

Rationale: Applying pressure to the inner canthus (nasolacrimal occlusion) prevents systemic absorption of timolol.

Question 4 of 5

When applying nitroglycerin ointment to a client's chest, which nursing technique is most appropriate?

Correct Answer: A

Rationale: Squeezing a ribbon of ointment onto an applicator paper ensures accurate dosing and prevents contamination or overuse.

Question 5 of 5

At the time of a retinal detachment, the client will most likely experience which effects? Select all that apply.

Correct Answer: A,F

Rationale: Retinal detachment causes flashes of light due to retinal traction and wavy vision (floaters or curtain-like vision) due to retinal separation. Severe pain or inability to see light is not typical.

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