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NCLEX National Council Licensure Examination(NCLEX-PN) Sample Questions (Q227-Q232):
NEW QUESTION # 227
A client has chronic respiratory acidosis caused by end-stage chronic obstructive pulmonary disease (COPD). Oxygen is delivered at 1 L/min per nasal cannula. The nurse teaches the family that the reason for this is to avoid respiratory depression, based on which of the following explanations?
- A. COPD clients thrive on a high oxygen level.
- B. COPD clients tend to retain hydrogen ions if they are given high doses of oxygen.
- C. COPD clients are stimulated to breathe by hypoxia.
- D. COPD clients depend on a low carbon dioxide level.
Answer: C
Explanation:
Explanation/Reference:
Explanation:
COPD clients are compensating for low oxygen and high carbon dioxide levels. Hypoxia is the main stimulus to breathe in persons with chronic hypercapnia. Increasing the level of oxygen decreases the stimulus to breathe. Physiological Adaptation
NEW QUESTION # 228
Padding on a restraint helps:
- A. to keep infection and wounds down.
- B. the client feel more secure.
- C. with pressure distribution so that bony prominences do not receive pressure when a client pulls against the restraints.
- D. to keep restraints in place.
Answer: C
Explanation:
Explanation/Reference:
Explanation:
Padding distributes pressure so that bony prominences do not receive the brunt of pressure when a client pulls against the restraints. Pressure, especially over bony prominences, causes tissue damage due to ischemia. Safetyand Infection Control
NEW QUESTION # 229
Which of the following diseases places a client at risk for developing cirrhosis?
- A. glaucoma
- B. leukemia
- C. type I diabetes
- D. alcoholism
Answer: D
Explanation:
Alcoholism places a client at risk for developing cirrhosis. None of the other choices are related to cirrhosis.Physiological Adaptation
NEW QUESTION # 230
All of the following are causes of vaginal bleeding in late pregnancy except:
- A. placenta previa.
- B. eclampsia.
- C. abruptio placentae.
- D. uterine rupture.
Answer: B
Explanation:
Eclampsia is a disorder of pregnancy characterized by hypertension, proteinuria, and edema. This condition can cause seizure and/or coma. Choices 1 and 3 are abnormal conditions that can cause bleeding, particularly in the third trimester. Choice 4 is a major obstetrical emergency that can cause bleeding internally and externally.Safety and Infection Control
NEW QUESTION # 231
Support-system enhancement includes all of the following except:
- A. determining the barriers to using support systems.
- B. exploring life problems of the support-team members.
- C. discussing ways to help with others who are concerned.
- D. involving spouse, family, and friends in the care and planning.
Answer: B
Explanation:
Explanation/Reference:
Explanation:
The exploration of life problems of support-team members is not necessary to enhance the support system. Choices 1, 2, and 4 are all enhancements for a support system. Psychosocial Integrity
NEW QUESTION # 232
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