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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:

A 28-year-old male with history of diabetes has been found wandering around in a confused pattern. The male is sweaty and pale.


Question 1 of 5

Which of the following tests is most likely to be performed first?

Correct Answer: A

Rationale: Confusion, sweating, and pallor in a diabetic suggest hypoglycemia, requiring immediate blood sugar testing.

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 2 of 5

What is most likely occurring when persistent bubbling exist in the water seal chamber of a chest drainage device?

Correct Answer: D

Rationale: Persistent bubbling indicates an air leak, either in the system or from the lung.

Extract:

Pulsus Paradoxus is best described as


Question 3 of 5

Pulsus Paradoxus is best described as

Correct Answer: B

Rationale: Pulsus paradoxus is an exaggerated drop in systolic BP during inspiration.

Extract:


Question 4 of 5

Assessment of the client with an arteriovenous fistula for hemodialysis should include:

Correct Answer: B

Rationale: Palpating a thrill confirms the patency of an AV fistula. Visible pulsation is not typical, percussion is irrelevant, and blood pressure is not auscultated in the fistula limb. Physiological Adaptation

Extract:

Which of the following nursing interventions is a priority on a newborn baby?


Question 5 of 5

Wrap the baby in a warm blanket.

Correct Answer: C

Rationale: The Apgar score assesses the newborn's immediate condition, guiding further interventions.

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