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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

Which nursing technique is most accurate for removing an object that completely obstructs the airway of an unconscious adult?

Correct Answer: C

Rationale: Abdominal thrusts (Heimlich maneuver) are the standard technique to dislodge a complete airway obstruction in an unconscious adult.

Question 2 of 5

During the first stage of a client's labor, the nurse finds that the fetal heart rate decreases during a contraction and returns to normal at the end of the contraction. Which action is the most appropriate in response to the assessment finding?

Correct Answer: A

Rationale: A temporary fetal heart rate decrease during contractions (early deceleration) is normal, indicating head compression, and requires no action.

Question 3 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 4 of 5

Which comment made by a client who is taking aspirin is most likely related to adverse effects of drug therapy?

Correct Answer: D

Rationale: Buzzing in the ears (tinnitus) is a common adverse effect of aspirin, indicating potential toxicity.

Question 5 of 5

A client with a burn injury is at risk for infection. Which nursing action is most effective in preventing infection?

Correct Answer: A

Rationale:
Topical antibiotics directly prevent bacterial growth in burn wounds, reducing infection risk.

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