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ATI RN · Nursing Process · Nursing Process NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client is brought to the emergency department unconscious after a fall. What is the primary source of information in this case?

A. Client's spouse

B. Medical records

C. Diagnostic tests

D. Nursing assessment

Expert Explanatory Rationale

Correct Answer: Client's spouse

Question 2 of 5

What would be the most appropriate intervention for a patient with aphasia who state, "I want a ..." and then stops?

A. Wait for the patient to complete the sentence.

B. Immediately begin showing the patient various objects In the environment.

C. Leave the room and come back later.

D. Begin naming various objects that the patient could be referring to.

Expert Explanatory Rationale

Correct Answer: Wait for the patient to complete the sentence.

Question 3 of 5

Mr. Boy, a 65-year old man, has been admitted wth severe flame burns resulting from smoking in bed. The nurse can expect his room environment to include:

A. strict isolation techniques and policies

B. a semi-private room

C. liberal, unrestricted visiting

D. equipment shared between Mr. Boy and the other burn patients in the unit

Expert Explanatory Rationale

Correct Answer: a semi-private room

Question 4 of 5

Which of the ff does the examiner note when auscultating the lungs of a client with pleural effusion?

A. Pronounced breath sounds

B. Expiratory wheezes

C. Friction rub

D. Fluid in the involved area

Expert Explanatory Rationale

Correct Answer: Fluid in the involved area

Question 5 of 5

The lungs regulate acid-base balance bâ‚ƒyâ» all of the following except:

A. Excreting HCO into the blood

B. Controlling carbon dioxide levels

C. Slowing ventilation

D. Increasing ventilation

Expert Explanatory Rationale

Correct Answer: Slowing ventilation

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