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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Free Questions

Extract:

Post thoracentesis, the patient complains of blood-tinged sputum.


Question 1 of 5

Which of the following would the PN performs first?

Correct Answer: B

Rationale: Blood-tinged sputum may indicate a pneumothorax, so auscultating for breath sounds is the priority to assess lung status.

Extract:


Question 2 of 5

The nurse is teaching a client with a new diagnosis of glaucoma about the condition. Which of the following statements by the client indicates understanding?

Correct Answer: B

Rationale: Glaucoma involves increased intraocular pressure, and adherence to prescribed eye drops (e.g., timolol) is critical to prevent optic nerve damage. Dim light (
A) is unrelated, stopping medication (
C) is dangerous, and glaucoma results from reduced fluid drainage (not excess,
D).

Question 3 of 5

The nurse has taken the vital signs of a 95-year-old client: oral temperature = 98.6°F; pulse = 84 with a regular irregularity; respirations = 18; blood pressure = 140/86. Which nursing assessment(s) should be done first to obtain more data?

Correct Answer: A

Rationale: A regular irregularity in pulse suggests an arrhythmia, requiring an apical pulse for one minute to confirm and assess severity.

Question 4 of 5

Which is an expected finding in the normal newborn?

Correct Answer: B

Rationale: Acrocyanosis (bluish extremities) is normal in newborns due to immature circulation. Undescended testicles, absent sucking pads, and retractions are abnormal.

Question 5 of 5

A primigravida, 26 years old and 33 weeks gestation, is admitted to the hospital with painless vaginal bleeding. She reports that the bleeding, which started 2 hours ago, has lessened in amount. Which of the following measures should be included in the client's care?

Correct Answer: B

Rationale: Counting the number of pads used quantifies blood loss, aiding in the assessment of conditions like placenta previa, which causes painless bleeding.

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