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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

While installing electrical wiring in the intensive care unit, the workmen start an electrical fire. The nurse's first action when caring for a ventilator-dependent client should be to:

Correct Answer: C

Rationale: Removing the ventilator-dependent client with an Ambu bag ensures safety from the fire. Extinguishing, notifying, or activating the alarm are secondary.

Question 2 of 5

While installing electrical wiring in the intensive care unit, the workmen start an electrical fire. The nurse's first action when caring for a ventilator-dependent client should be to:

Correct Answer: C

Rationale: Removing the ventilator-dependent client with an Ambu bag ensures safety from the fire. Extinguishing, notifying, or activating the alarm are secondary.

Question 3 of 5

A patient with post-traumatic stress disorder (PTSD) is experiencing flashbacks. Which of the following interventions should the nurse implement?

Correct Answer: B

Rationale: A safe, calm environment reduces flashback intensity and promotes grounding. Avoiding discussion delays therapy, trigger exposure requires controlled settings, and isolation worsens symptoms.

Question 4 of 5

The nurse is caring for an adult who had a total gastrectomy last week. Because of the type of surgery, the nurse should monitor the client carefully for which of the following? Select all that apply.

Correct Answer: A,C

Rationale: Gastrectomy removes intrinsic factor-producing cells, risking pernicious anemia, and rapid gastric emptying causes dumping syndrome. Ulcerative colitis, stress ulcers, hiatal hernia, and thrombophlebitis are not directly related to gastrectomy.

Extract:

The client who's developing signs and symptoms indicate hyperglycemia?


Question 5 of 5

The client who's developing signs and symptoms indicate hyperglycemia?

Correct Answer: A

Rationale: Hyperglycemia causes polydipsia, polyuria, and weight loss due to osmotic diuresis.

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