[App] SHRM-CP Offline Exam on All PC version 2025 - 1000 + Question
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NCLEX-PN Exam Questions - Part 59
1. Which of the following conditions has a severe complication of respiratory failure?
A) Bell - s palsy
B) Guillain-Barré syndrome
C) trigeminal neuralgia
D) tetanus
2. Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. When the nurse who was not promoted first read the memo and learned that the other nurse had received the promotion, she left the room in tears. This behavior is an example of:
A) conversion.
B) regression.
C) introjection.
D) rationalization.
3. When a client has a chest drainage system in place, where should the system be placed?
A) above the client - s head
B) at the client - s shoulders
C) at the level of the chest
D) below the level of the chest
4. A client with a pleural drainage system to suction has gentle bubbling of the water seal. What should the nurse do?
A) Notify the physician.
B) Clamp the chest tube.
C) Replace the system.
D) Document the finding.
5. A visitor accidentally knocks over a plastic pleural drainage system connected to a client, and it cracks. What should the nurse do first?
A) Observe the client - s response.
B) Notify the physician.
C) Change the drainage system.
D) Observe for leaks.
A) Bell - s palsy
B) Guillain-Barré syndrome
C) trigeminal neuralgia
D) tetanus
2. Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. When the nurse who was not promoted first read the memo and learned that the other nurse had received the promotion, she left the room in tears. This behavior is an example of:
A) conversion.
B) regression.
C) introjection.
D) rationalization.
3. When a client has a chest drainage system in place, where should the system be placed?
A) above the client - s head
B) at the client - s shoulders
C) at the level of the chest
D) below the level of the chest
4. A client with a pleural drainage system to suction has gentle bubbling of the water seal. What should the nurse do?
A) Notify the physician.
B) Clamp the chest tube.
C) Replace the system.
D) Document the finding.
5. A visitor accidentally knocks over a plastic pleural drainage system connected to a client, and it cracks. What should the nurse do first?
A) Observe the client - s response.
B) Notify the physician.
C) Change the drainage system.
D) Observe for leaks.
1. Right Answer: B
Explanation: Guillain-Barr syndrome has a severe complication of respiratory failure. The remaining choices are peripheral nerve conditions, like Guillain-Barr. However, they do not lead to such a severe complication. Reduction of Risk Potential
2. Right Answer: B
Explanation: Crying is a regressive behavior. The ego returned to an earlier, comforting, and less-mature way of behaving in the face of disappointment. Conversion involves the transformation of anx
3. Right Answer: D
Explanation: A chest drainage system should be placed below the level of the clients chest so that the drainage flows out of the chest into the system. The remaining choices are too high and do not allow fluid to drain out of the chest. Reduction of Risk Potential
4. Right Answer: D
Explanation: Gentle bubbling is a normal finding for the client who has a pleural drainage system to suction, so it simply needs to be documented. If the bubbling becomes vigorous, it could indicate a leak, which the nurse needs to investigate. The remaining choices are not necessary. Reduction of Risk Potential
5. Right Answer: C
Explanation: If a crack is seen in a pleural drainage system, it should be changed immediately. The remaining choices can be performed later. Reduction of Risk Potential
Explanation: Guillain-Barr syndrome has a severe complication of respiratory failure. The remaining choices are peripheral nerve conditions, like Guillain-Barr. However, they do not lead to such a severe complication. Reduction of Risk Potential
2. Right Answer: B
Explanation: Crying is a regressive behavior. The ego returned to an earlier, comforting, and less-mature way of behaving in the face of disappointment. Conversion involves the transformation of anx
3. Right Answer: D
Explanation: A chest drainage system should be placed below the level of the clients chest so that the drainage flows out of the chest into the system. The remaining choices are too high and do not allow fluid to drain out of the chest. Reduction of Risk Potential
4. Right Answer: D
Explanation: Gentle bubbling is a normal finding for the client who has a pleural drainage system to suction, so it simply needs to be documented. If the bubbling becomes vigorous, it could indicate a leak, which the nurse needs to investigate. The remaining choices are not necessary. Reduction of Risk Potential
5. Right Answer: C
Explanation: If a crack is seen in a pleural drainage system, it should be changed immediately. The remaining choices can be performed later. Reduction of Risk Potential
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