NCLEX-PN Test 05: Advanced Clinical Management

NCLEX-PN Test 05: Clinical Safety & Triage

This exam focuses on Infection Control, Medication Administration, and Emergency Prioritization.

Emergency Triage: Always prioritize "ABCs" (Airway, Breathing, and Circulation). A patient with chest bruising and shallow breaths is a top priority.
Infection Risk: If a dialysis fluid looks cloudy, it is a sign of a serious infection. You must send a sample to the lab immediately.
Post-Op Care: After a gallbladder surgery, tell the patient to avoid soaking in a tub for 48 hours to keep the incisions dry and safe.
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Q:1A nurse is discharging a client after a gallbladder surgery done with a small camera (laparoscopic). What should the nurse do?
The client should not soak in water for two days. This keeps the small cuts from getting soft or getting germs inside while they heal.
Q:2A student returns to school after having "mono" for 3 weeks. What is the most important rule for the school nurse to follow?
Mono makes the spleen get very big and soft. Playing sports could cause the spleen to burst, which is a life-threatening emergency.
Q:3A 6-year-old with cystic fibrosis is taking digestive enzymes. When should the nurse give this medicine?
These enzymes must mix with food to work. Taking them with every meal and snack helps the body digest fat and protein correctly.
Q:4A doctor orders a diet high in Vitamin B12 for a client with a type of low blood (anemia). Which foods have the most B12?
Vitamin B12 is mostly found in animal foods. People who do not eat meat or dairy often need a supplement to stay healthy.
Q:5A client with high blood pressure is starting to exercise. What ... [Show Full Question 5]
Q:6A client just had their right breast removed (mastectomy). ... [Show Full Question 6]
Q:7A child is suspected of having a type of seizure called an absence ... [Show Full Question 7]
Q:8A client with a mental health disorder is having shaky hands and stiff ... [Show Full Question 8]
Q:9Which activity is best for a 12-year-old with ... [Show Full Question 9]
Q:10A client with diabetes has a 3-month sugar test (A1c) of 2.5%. ... [Show Full Question 10]
Q:11A nurse is assigning patients. Which client must be cared for by the registered ... [Show Full Question 11]
Q:12A nurse is checking a pressure reading from a heart tube. ... [Show Full Question 12]
Q:13Which roommate is the best choice for a client ... [Show Full Question 13]
Q:14Four people were hurt in a car crash. ... [Show Full Question 14]
Q:15A client is doing belly dialysis. If the fluid coming ... [Show Full Question 15]
Q:16A client with liver damage is taking a medicine called Lactulose. ... [Show Full Question 16]
Q:17A client with diabetes is going home. Which statement ... [Show Full Question 17]
Q:18A client is getting nutrition through a vein (TPN). Which ... [Show Full Question 18]
Q:19A client who just had a heart attack says they are fine and want ... [Show Full Question 19]
Q:20Which test is the least helpful for ... [Show Full Question 20]

Test 05 Study Summary

1. Chronic Management Patients with cystic fibrosis must take their enzymes with every meal and snack to help absorb nutrients from their food.
2. Mobility & Safety Swimming is the best exercise for juvenile arthritis because it moves the joints without the stress of body weight.
3. Lab Monitoring When a patient is on IV nutrition (TPN), the most important thing to check is their blood sugar because the fluid is very high in sugar.

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