Reduction Of Risk Potential NCLEX Practice Test (practice Mode)- Www.rnpedia.com

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  • 1. 
    When caring for a client with a post right thoracotomy who has undergone an upper lobectomy, the nurse focuses on pain management to promote:
    • A. 

      Relaxation and sleep

    • B. 

      Deep breathing and coughing

    • C. 

      Incisional healing

    • D. 

      Incisional healing


  • 2. 
    A client has a chest tube in place following a left lower lobectomy inserted after a stab wound to the chest. When repositioning the client, the nurse notices 200 cc of dark, red fluid flows into the collection chamber of the chest drain. What is the most appropriate nursing action?
    • A. 

      Clamp the chest tube

    • B. 

      Call the surgeon immediately

    • C. 

      Prepare for blood transfusion

    • D. 

      Continue to monitor the rate of drainage


  • 3. 
    The nurse is reviewing laboratory results on a client with acute renal failure. Which one of the following should be reported immediately?
    • A. 

      Blood urea nitrogen 50 mg/dl

    • B. 

      Hemoglobin of 10.3 mg/dl

    • C. 

      Venous blood pH 7.30

    • D. 

      Serum potassium 6 mEq/L


  • 4. 
    The nurse is caring for a child immediately after surgical correction of a ventricular septal defect. Which of the following nursing assessments should be a priority?
    • A. 

      Blanch nail beds for color and refill

    • B. 

      Assess for post operative arrhythmias

    • C. 

      Auscultate for pulmonary congestion

    • D. 

      Monitor equality of peripheral pulses


  • 5. 
    A client is diagnosed with a spontaneous pneumothorax necessitating the insertion of a chest tube. What is the best explanation for the nurse to provide this client?
    • A. 

      “The tube will drain fluid from your chest.”

    • B. 

      “The tube will remove excess air from your chest.”

    • C. 

      “The tube controls the amount of air that enters your chest.”

    • D. 

      “The tube will seal the hole in your lung.”


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