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NCLEX PN Exam Practice Test with NGN
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NCLEX PN
Nclex Pn Exam Practice Test With Ngn
NCLEX PN Exam Practice Test with NGN
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Question 1 of 85
Click to highlight below the assessment findings that require immediate follow-up?
A. Client is brought to the emergency department due to shortness of breath; medical history includes cystic fibrosis and many previous hospital admissions for pneumonia; in the 3rd percentile for height and weight
B. Alert and oriented to person, place, and time; no neurologic deficits
C. Vital signs: RR 30, SpO2 87% on room air; moderate subcostal retractions; bilateral wheezing and coarse crackles throughout lung fields with fine inspiratory crackles at left lung base; paroxysmal coughing that produces thick, yellow, blood-tinged sputum; parents report that the client has begun to become 'winded' after showering and other activities
D. Vital signs: T 101.7 F (38.7 C), P 130, BP 94/58; skin warm and dry; peripheral pulses palpable 2+; capillary refill 3 seconds; mild finger clubbing noted
Correct Answer:
Rationale:
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Question 2 of 85
Which of the following client findings are consistent with a cystic fibrosis exacerbation? Select all that apply.
A. Blood-tinged sputum
B. Greasy, bulky stools
C. Paroxysmal coughing
D. SpO2 of 87% on room air
Correct Answer:
Rationale:
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Question 3 of 85
The nurse should prioritize interventions for Select...
A. Malabsorption of nutrients
B. Alterations in blood glucose
C. Decreased gastrointestinal motility
D. Impaired clearance of airway secretions
Correct Answer:
Rationale:
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Question 4 of 85
For each potential intervention, click to specify if the intervention is indicated or not indicated for the care of the client.
A. Administer antibiotics
B. Administer a bronchodilator
C. Perform chest physiotherapy
D. Administer nebulized hypertonic saline
Correct Answer:
Rationale:
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Question 5 of 85
Which prescription should the nurse implement first?
A. Administer albuterol via a metered-dose inhaler
B. Administer hypertonic saline via a nebulizer
C. Contact respiratory therapy to initiate chest physiotherapy
D. Reinforce teaching on how to use a positive expiratory pressure device
Correct Answer:
Rationale:
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Related Questions
For each potential intervention, click to specify the intervention is expected or not expected for the care of the client at this time.
Which of the following statements indicate a correct understanding of the health care provider's teaching? Select all that apply.
The nurse recognizes that the client is at highest risk for developing Select..... evidenced by Select......
Which 3 instructions should the nurse include in the teaching?
For each potential intervention, click to specify if the intervention is indicated or not indicated for the care of the client.