NCLEX-PN Exam Questions - Part 100

Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions  - Part 100

NCLEX-PN Exam Questions - Part 100

1. A small amount of bubbling is seen in the water seal of a pleural drainage system when a client coughs. What should the nurse do?

A) Consider it a normal finding.
B) Check the system for leaks.
C) Clamp the chest tube.
D) Change the drainage system.



2. Which type of dressing is recommended to place over a site when a chest tube is removed by the physician?

A) transparent dressing
B) colloidal dressing
C) petrolatum gauze
D) nonadherent dressing



3. A client begins bleeding from the site of a previous arterial blood gas draw on the right wrist. What should the nurse do first?

A) Check the blood count.
B) Apply pressure to the site.
C) Document the bleeding.
D) Monitor the bleeding.



4. A nurse walks into a clients room to do an assessment and discovers that the client is unresponsive. The nurse shakes the client and calls his name, but he does not arouse. What should the nurse do next?

A) Open the airway.
B) Give defibrillation.
C) Check the pulse.
D) Call for help.



5. What is the appropriate ratio of cardiac compressions to ventilations in an adult client for one-person CPR?

A) 5:1
B) 1:5
C) 15:2
D) 2:15



1. Right Answer: A
Explanation: A small amount of bubbling is a normal finding in the water seal of a pleural drainage system when a client coughs. It is only a problem to find continuous, excessive bubbling in the waterseal, which indicates a leak. Reduction of Risk Potential

2. Right Answer: C
Explanation: Petrolatum gauze is recommended to place over a site when a chest tube is removed by the physician. This is because it forms an airtight seal, which the other choices do not. Reduction of Risk Potential

3. Right Answer: B
Explanation: If a client begins bleeding from the site of a previous arterial blood gas draw on the right wrist, the nurse should first apply pressure to the site. This prevents further bleeding. The remaining choices can be performed later. Reduction of Risk Potential

4. Right Answer: D
Explanation: The first step after determining unresponsiveness is to call for help. The remaining steps might be indicated afterward. Reduction of Risk Potential

5. Right Answer: C
Explanation: The appropriate ratio for adult CPR is 15 compressions to 2 ventilations. Reduction of Risk Potential

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