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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

Which nursing intervention is most appropriate for meeting the needs of an infant with congenital heart disease?

Correct Answer: A

Rationale: Responding quickly to crying minimizes stress and oxygen demand in an infant with congenital heart disease.

Question 2 of 5

A 78-year-old client arrives at the hospital and is suspected of having pneumonia. Which laboratory test should be performed to confirm the diagnosis?

Correct Answer: D

Rationale: A sputum culture identifies the causative organism in pneumonia, confirming the diagnosis.

Question 3 of 5

The nurse is assessing a client with suspected anaphylactic shock. Which finding is most concerning?

Correct Answer: A

Rationale: Wheezing indicates airway constriction, a life-threatening sign in anaphylactic shock.

Question 4 of 5

A client with a history of rheumatoid arthritis is prescribed methotrexate. Which laboratory value should the nurse monitor?

Correct Answer: A

Rationale: Methotrexate can cause hepatotoxicity; monitoring liver enzymes is essential.

Question 5 of 5

A client with pneumonia is receiving IV antibiotics. Which assessment finding suggests the client is responding to treatment?

Correct Answer: A

Rationale: A decreased white blood cell count indicates the infection is resolving, showing a response to antibiotics.

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