100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NCLEX Practice Exam Questions with 100% Correct Answers $11.49
Add to cart
Quickly navigate to
Preview
  2.  
  3. Nclex
  4.  
  5. Nclex

Exam (elaborations)

NCLEX Practice Exam Questions with 100% Correct Answers
 0 purchase
  • Course
  • Nclex
  • Institution
  • Nclex

NCLEX Practice Exam Questions with 100% Correct Answers The nurse cares for the client diagnosed with a pneumothorax resulting from a motor vehicle accident three days ago. The client has a chest tube connected to a three-chamber water-seal drainage system with 20 cm suction. The nurse determi...

[Show more]

Preview 4 out of 87  pages

Document information

  • October 12, 2024
  • 87
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

Written for

  • Nclex
  • Nclex

Seller

avatar-seller
JOSHCLAY

Reviews received

Content preview

©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
NCLEX Practice Exam Questions with

100% Correct Answers


The nurse cares for the client diagnosed with a pneumothorax resulting

from a motor vehicle accident three days ago. The client has a chest tube

connected to a three-chamber water-seal drainage system with 20 cm

suction. The nurse determines the lung has re-expanded if which

observation is made?



1. There is no drainage in the collection chamber for 3 hours

2. The fluid in the water-seal chamber does not fluctuate with respirations

3. There is continuous bubbling in the water-seal chamber

4. There is gentle bubbling in the suction-control chamber - ✔✔2. The

fluid in the water-seal chamber does not fluctuate with respirations



Rationale: Indicates no more air leaking into pleural space

The 18-month old is admitted to the unit with a diagnosis of

laryngotracheobronchitis (LTB). During the initial assessment, the nurse

expects to find which early symptoms?

,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.

1. Kussmaul respirations and bradycardia

2. Elevated temperature and slow respiratory rate

3. Expiratory wheezing and substernal retractions

4. Inspiratory stridor and restlessness - ✔✔4. Inspiratory stridor and

restlessness



Rationale: LTB or croup syndrome is characterized by edema and

inflammation of upper airways. The inspiratory strider is often the first

observable symptom of LTB.

The health care provider inserts a temporary pacemaker in a client

following a myocardial infarction. The nurse knows that which outcome is

the primary purpose of the pacemaker?



1. Increases the force of myocardial contraction

2. Increases the cardiac output

3. Prevents premature ventricular contractions (PVCs)

4. Prevents systemic overload - ✔✔2. Increases the cardiac output

,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
Rationale: A pacemaker acts to regulate cardiac rhythm. This can be atrial,

or ventricular, or both chambers. The outcome of the intervention is to

increase the cardiac output.

The client in labor is monitored with an internal fetal monitor. The nurse

knows which is the most important reason for the fetal monitor?



1. To evaluate the progress of the client's labor

2. To assess the strength and duration of the client's contractions

3. To monitor the oxygen status of the fetus during labor

4. To determine if an oxytocin drip is necessary - ✔✔3. To monitor the

oxygen status of the fetus during labor



Rationale: Goal is early detection of mild fetal hypoxia

The nurse prepares an older client for an intravenous pyelogram (IVP). The

client asks the nurse to explain the reason why the procedure is performed.

The nurse's response is based on which explanation?



1. The HCP is able to directly observe the kidney pelvis

2. An IVP assess the glomerular filtration rate

3. The HCP is able to examine the urinary tract by x-ray

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
4. Medication is injected into the urinary system - ✔✔3. The HCP is able

to examine the urinary tract by x-ray



Rationale: During an IVP, x-rays are taken of the entire urinary tract and

helps evaluate kidney function.

The nurse cares for the client admitted with cerebral vascular accident

(CVA) and facial paralysis. Nursing care is planned to prevent which

complication?



1. Inability to talk

2. Loss of the gag reflex

3. Inability to open the affected eye

4. Corneal abrasion - ✔✔4. Corneal abrasion



Rationale: A client will be unable to close the affected eye voluntarily when

facial nerve is affected. The lacrimal gland will no longer supply secretions

that protect the eye and can cause a corneal abrasion. Nursing care will

include cool compresses and prescribed eye drops.

A school-age child client is in the early stages of nephrotic syndrome. The

nurse discusses which protein adjustments with the parents?

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller JOSHCLAY. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $11.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69052 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$11.49
  • (0)
Add to cart
Added