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Practice Question

A nurse in the medical-surgical unit is caring for a 59-year-old client.

Answer Choices:

Correct Answer:

Vital signs

Rationale:

📈Vital signs show tachypnea (28/min), tachycardia (108 bpm), and low oxygen saturation (90%), indicating acute respiratory distress.

❤️Chest pain rated 6/10 in a lung cancer patient with labored breathing and a central mass may suggest cardiopulmonary compromise.

😴Appetite loss, weight loss, weakness, cough, and smoking history are important, but not emergent compared to the unstable vitals and chest pain.

🚨Immediate follow-up focuses on airway, breathing, and circulation.

📌Core Message

Vital signs and chest pain indicate potential respiratory or cardiovascular compromise and need immediate attention.

Want to practice more questions like this?

This question is from NCLEX RN-Readiness Assessment Test-1 which contains 104 questions.

More Questions from This Exam
A nurse is talking with a client about bowel elimination. Which of the following statements by the client would be essential to follow up?

Answer Choices:

A. "l use laxatives when I have constipation."
B. "l have a bowel movement every 3 to 4 days."
C. "l had an enema to remove a fecal impaction once."
D. "l sit on the toilet from 10:00 to 10:15 almost every morning."
A nurse is educating a client on topiramate for migraine prevention. Which statement by the nurse is appropriate?

Answer Choices:

A. "Avoid this medication if you have an allergy to a sulfa drug."
B. "Always take this medication in the morning with a full glass of water."
C. “Do not take this medication if you are planning to become pregnant."
D. "Check your blood pressure before taking this medication."
A nurse in the pediatric unit finds a client to have fallen on the floor. Which of the following actions should the nurse take first?

Answer Choices:

A. Call for help.
B. Move the client to a safe location.
C. Review the client's medical record.
D. Assess the client for injuries.
A nurse in the medical-surgical unit is caring for a 59-year-old client.

Answer Choices:

A. Hyperkalemia
B. Pleural effusion
C. Pheochromocytoma
D. Spinal cord compression
E. Dissecting aortic aneurysm
F. Superior vena-cava syndrome
From Exam
NCLEX RN-Readiness Assessment Test-1

104 Questions

View Full Exam
Question Details
  • Category: NCLEX RN
  • Subcategory: NCLEX RN- Readiness Assessment Tests
  • Domain: NCLEX RN- (Readiness Assessment Test)
  • Answer Choices: 7
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