Exam (elaborations)
NCLEX PN ACTAUL EXAMS 2024 QUESTIONS AND ANSWERS A GUARANTEED
- Course
- Institution
NCLEX PN ACTAUL EXAMS 2024 QUESTIONS AND ANSWERS A GUARANTEED
[Show more]
Content preview
NCLEX PN ACTAUL EXAMS 2024 QUESTIONS AND ANSWERS AGUARANTEED
Question 1:
A nurse is caring for a client with heart failure who is experiencing fluid volume overload.
Which of the following findings should the nurse expect?
A) Decreased central venous pressure
B) Increased hematocrit
C) Jugular vein distention
D) Weight loss
Answer: C) Jugular vein distention
Explanation: Fluid volume overload can lead to increased pressure in the veins, resulting in
jugular vein distention. Decreased central venous pressure and weight loss are not typical
findings of fluid volume overload, and increased hematocrit would usually be seen in
dehydration, not fluid overload.
Question 2:
A nurse is assessing a client who has been on bed rest for three days. Which of the
following findings should the nurse identify as an indication that the client is at risk for
skin breakdown?
A) Hyperactive bowel sounds
B) Difficulty breathing
C) Reddened area on the sacrum
D) Decreased urine output
Answer: C) Reddened area on the sacrum
Explanation: A reddened area on the sacrum is an early sign of pressure ulcer development,
indicating that the client is at risk for skin breakdown due to prolonged bed rest and immobility.
Question 3:
A nurse is caring for a client who is receiving a continuous IV infusion. Which of the
following actions should the nurse take to prevent an air embolism?
A) Prime the IV tubing with the infusion solution
B) Attach the IV tubing to the insertion site first
C) Elevate the head of the bed
D) Flush the IV tubing with 10 mL of normal saline
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller smartguide. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79316 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now