NCLEX PN Exam Practice Test with NGN
Question 1 of 5.
Click to highlight below the assessment findings that require immediate follow-up?
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Explanation: Findings A, C, D, and E indicate urgent issues: shortness of breath with a history of cystic fibrosis , low oxygen saturation and respiratory distress , fever and tachycardia , and malabsorption symptoms require immediate intervention.
Question 2 of 5.
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
E. Temperature of 101.7 F (38.7 C)
Explanation: Cystic fibrosis exacerbations often present with increased respiratory symptoms (A, C, D), fever , and malabsorption issues due to pancreatic insufficiency.
Question 3 of 5.
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
Explanation: Impaired airway clearance is a priority in cystic fibrosis exacerbations due to thick mucus causing respiratory distress and infection risk.
Question 4 of 5.
For each potential intervention, click to specify if the intervention is indicated or not indicated for the care of the client.
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Explanation: Antibiotics treat bacterial pneumonia, bronchodilators relieve wheezing, chest physiotherapy aids mucus clearance, and hypertonic saline thins mucus. Airborne isolation is not indicated for bacterial pneumonia.
Question 5 of 5.
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
Explanation: Albuterol is prioritized to relieve acute bronchospasm and improve airflow in respiratory distress.
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