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NCLEX PN Exam Practice Test with NGN

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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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