This is our second free NCLEX practice exam. These challenging NCLEX review questions are great for your nursing test prep. A total of 75 sample questions with instant scoring and detailed explanations.
NCLEX Practice Test 2
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- Health Promotion & Maintenance 0%
- Management of Care 0%
- Pharmacological Therapies 0%
- Physiological Adaptation 0%
- Psychosocial Integrity 0%
- Reduction of Risk Potential 0%
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Question 1 of 75
1. Question
Category: Management of CareThe nursing team includes two RNs, one LPN, a nursing assistant, and a nurse reassigned from the postpartum unit. The nurse should consider the assignments appropriate if the reassigned nurse cares for which of the following patients?
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Question 2 of 75
2. Question
Category: Management of CareA patient comes into the ER with COPD exacerbation and is having difficulty breathing. What action, if performed by the nurse, would be considered negligence?
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Question 3 of 75
3. Question
Category: Management of CareA charge nurse on the cardiac unit observes a new graduate nurse as she suctions a patient with a tracheostomy. What action, if performed by the graduate nurse, would require intervention from the charge nurse?
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Question 4 of 75
4. Question
Category: Management of CareWhich of the following must be performed by an RN and NOT a UAP (unlicensed assistive personnel)?
SELECT ALL THAT APPLY:
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Question 5 of 75
5. Question
Category: Management of CareThe nurse answers the phone on a busy medical/surgical floor. A family member requests information on a patient by name. What response, if given by the nurse, is CORRECT?
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Question 6 of 75
6. Question
Category: Management of CareThe nurse cares for a patient on an acute cardiac unit. The nurse writes her note for the next shift. It is vital to communicate which of the following information to the next shift?
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Question 7 of 75
7. Question
Category: Management of CareThe nurse has just received report on four patients in her assignment. Which of the following patients should the nurse see FIRST?
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Question 8 of 75
8. Question
Category: Management of CareThe nurse receives a report on the medical/surgical unit. Which of the following clients should the nurse see FIRST?
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Question 9 of 75
9. Question
Category: Management of CareThe psychiatric unit processed four new admissions on the previous shift. Which of the new patients should the admissions nurse see FIRST?
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Question 10 of 75
10. Question
Category: Management of CareThe nurse in the outpatient care clinic cares for a client diagnosed with heart failure. Which of the following orders, if written by the physician, should the nurse question?
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Question 11 of 75
11. Question
Category: Management of CareThe nurse works on a unit caring for chronic pain management patients. A UAP (unlicensed assistive personnel) is pulled from another unit to help out the busy floor. An hour into the shift, the UAP asks the nurse “What is with the patient in room five? He says he’s in pain, but he’s watching TV!” Which of the following is the nurse’s BEST response?
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Question 12 of 75
12. Question
Category: Management of CareA Hindu patient dies after a long, drawn-out battle with pancreatic cancer. The family is gathered by the bedside. Which of the following interventions, if offered by the nurse, would be MOST appropriate?
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Question 13 of 75
13. Question
Category: Management of CareA 55-year-old male patient arrives at the ER with anterior epistaxis that has not resolved after an hour of applying pressure. Which of the following instructions, if given to the UAP by the nurse, would be considered CORRECT?
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Question 14 of 75
14. Question
Category: Management of CareA nurse observes a student nurse assess infants in the nursery. Which of the following, if observed by the nurse, would require an IMMEDIATE intervention?
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Question 15 of 75
15. Question
Category: Management of CareA 101-year-old patient with end stage renal disease is refusing to take her medications “because they don’t work and I’m going to die soon anyway.” Which of the following responses is most correct?
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Question 16 of 75
16. Question
Category: Safety & Infection ControlA patient is ordered to undergo a CT scan with contrast dye. The most important action for the nurse to take in regard to patient safety is to:
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Question 17 of 75
17. Question
Category: Safety & Infection ControlWhich of the following actions, if made by the student nurse, are examples of primary prevention?
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Question 18 of 75
18. Question
Category: Safety & Infection ControlA patient being treated for uterine cancer has just had an internal radiation implant placed. The fire alarm sounds and, without thinking, the patient stands up. The radiation implant falls out and onto the floor. What is the NEXT action the nurse should take?
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Question 19 of 75
19. Question
Category: Safety & Infection ControlThe nurse is caring for a confused patient with an IV catheter. The patient habitually tugs at the IV tubing with his left hand and has almost dislodged it. What is the LEAST amount of restraint that will still maintain the patient’s safety?
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Question 20 of 75
20. Question
Category: Safety & Infection ControlThe medical/surgical nurse watches a student nurse prepare a sterile field. Which of the following actions, if performed by the student nurse, requires further instruction?
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Question 21 of 75
21. Question
Category: Safety & Infection ControlA hospital has been notified that an alleged inhalation anthrax exposure has occurred at the local post office. Which of the following below is the correct personal protective equipment (PPE) that the response team would wear?
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Question 22 of 75
22. Question
Category: Safety & Infection ControlThe medical/surgical nurse cares for a middle-aged patient with a wound infected with MRSA (Methicillin-resistant Staphylococcus aureus). Which of the following protective safety items, if worn by the nurse, would be considered appropriate?
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Question 23 of 75
23. Question
Category: Safety & Infection ControlThe nurse cares for a patient with AIDS who has acquired jiroveci pneumonia. Which of the following precautions levels is appropriate for this patient?
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Question 24 of 75
24. Question
Category: Safety & Infection ControlA nurse cares for a patient who cannot turn by using an overhead lift. The nurse knows that which of the following is the MOST important actions to follow in terms of safety?
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Question 25 of 75
25. Question
Category: Safety & Infection ControlWhich of the following assessments, performed on a patient after a myelogram, is most important in regard to patient safety?
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Question 26 of 75
26. Question
Category: Health Promotion & MaintenanceThe nurse in the neurology unit cares for a patient diagnosed with CVA who is ready to go home today. The patient suffers from hemiplegia and dysphagia. Which of the following statements, if made by the patient’s wife, indicates that further teaching is necessary?
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Question 27 of 75
27. Question
Category: Health Promotion & MaintenanceThe nurse gives a presentation on suicide prevention in high school populations. Which of the following risk factors listed below is accurate in regard to suicide?
SELECT ALL THAT APPLY:
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Question 28 of 75
28. Question
Category: Health Promotion & MaintenanceThe home health nurse visits a patient with HIV who lives alone in her apartment. Which of the following observations the nurse makes while in the patient’s home is MOST concerning?
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Question 29 of 75
29. Question
Category: Health Promotion & MaintenanceAn adolescent male tells the nurse that he recently found out his friend has testicular cancer and he is worried he has it too. He describes a soft, movable mass that has not altered in size and is not painful. What is the nurse’s BEST response?
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Question 30 of 75
30. Question
Category: Health Promotion & MaintenanceThe nurse assesses the following risk factors for coronary artery disease (CAD) in a patient. Which factors are classified as genetic and physiological?
SELECT ALL THAT APPLY:
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Question 31 of 75
31. Question
Category: Health Promotion & MaintenanceThe nurse works at an outpatient health center and receives a call from an adolescent girl who was recently prescribed the birth control pill. She describes “an awful leg cramp that turned the skin red.” Which of the following statements, if made by the nurse to the patient, is CORRECT?
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Question 32 of 75
32. Question
Category: Psychosocial IntegrityA patient with a history of schizophrenia is admitted to the acute psychiatric care unit. He mutters to himself as the nurse attempts to take a history and yells, “I don’t want to answer any more questions! There are too many voices in this room!” Which of the following assessment questions should the nurse ask NEXT?
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Question 33 of 75
33. Question
Category: Psychosocial IntegrityA new mother is admitted to the acute psychiatric unit with severe postpartum depression. She is tearful and states, “I don’t know why this happened to me! I was so excited for my baby to come, but now I don’t know!” Which of the following responses by the nurse is MOST therapeutic?
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Question 34 of 75
34. Question
Category: Psychosocial IntegrityA patient with antisocial personality disorder enters the private meeting room of a nursing unit as a nurse is meeting with a different patient. Which of the following statements by the nurse is BEST?
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Question 35 of 75
35. Question
Category: Psychosocial IntegrityAn older patient is scheduled for hip replacement surgery in twelve hours. As the nurse reviews the health history, she notes that the patient has a history of alcoholism. Which of the following actions should be taken to best care for this patient?
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Question 36 of 75
36. Question
Category: Psychosocial IntegrityThe wife of a client with PTSD (post traumatic stress disorder) communicates to the nurse that she is having trouble dealing with her husband’s condition at home. Which of the following suggestions made by the nurse is CORRECT?
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Question 37 of 75
37. Question
Category: Psychosocial IntegrityThe nurse cares for a patient on the psychiatric unit who has been diagnosed with depression. Which of the following statements, if made by the patient to the nurse, would require IMMEDIATE intervention?
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Question 38 of 75
38. Question
Category: Psychosocial IntegrityThe nurse cares for a client diagnosed with bipolar disorder on the psychiatric unit. Which of the following, if noted by the nurse, is an unexpected outcome for this patient?
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Question 39 of 75
39. Question
Category: Basic Care & ComfortA cast is applied to a thirteen-month-old girl for the treatment of talipes equinovarus (clubfoot). Which of the following instructions is essential for the nurse to give the child’s mother regarding her care while in the cast?
SELECT ALL THAT APPLY:
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Question 40 of 75
40. Question
Category: Basic Care & ComfortWhich of the following diets, if given by the dietician to the patient, would be considered an appropriate measure for a patient on a low residue diet?
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Question 41 of 75
41. Question
Category: Basic Care & ComfortThe nurse cares for a patient twelve hours after left lower leg amputation. The nurse medicates the client for pain before instituting which of the following actions?
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Question 42 of 75
42. Question
Category: Basic Care & ComfortBefore administering a nasogastric feeding to a preterm infant, the nurse aspirates residual fluid from the stomach. Place the following actions in order.
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Begin the prescribed nasogastric feeding.
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Measure the aspirate.
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Return the aspirate and subtract the amount of the aspirate from the feeding.
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Position the infant with his or her head slightly elevated.
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Question 43 of 75
43. Question
Category: Basic Care & ComfortA 90-year-old female has been bedridden for two weeks. Which of the following complications, if observed by the nurse, is NOT expected?
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Question 44 of 75
44. Question
Category: Basic Care & ComfortThe nurse cares for a client in balanced suspension traction. The client complains of pain in the affected extremity, and the nurse administers the prescribed pain medication. An hour later, the client tells the nurse that the pain has gotten worse instead of better. Which of the following assessments are necessary before the nurse calls the physician?
SELECT ALL THAT APPLY:
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Question 45 of 75
45. Question
Category: Basic Care & ComfortA patient with dementia has been identified as having a high BUN in lab results. Which of the following non-pharmacological actions would be best for the nurse to take?
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Question 46 of 75
46. Question
Category: Basic Care & ComfortThe nurse is assisting a client with diverticulosis to select appropriate foods. Which food should be avoided?
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Question 47 of 75
47. Question
Category: Pharmacological TherapiesA patient has been prescribed the medication spironolactone (aldasterone). When preparing the patient for discharge, the nurse should include which of the following instructions?
SELECT ALL THAT APPLY:
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Question 48 of 75
48. Question
Category: Pharmacological TherapiesThe nurse works on a medical/surgical unit and cares for a patient receiving Lanoxin (Digoxin) and Furosemide (Lasix). The nurse knows that which of the following, if reported by the patient, must be assessed IMMEDIATELY?
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Question 49 of 75
49. Question
Category: Pharmacological TherapiesA physician on the medical/surgical unit orders Mellaril (thioridazine hydrochloride) 75mg PO once daily for one of the nurse’s patients. The pharmacy sends up liquid Mellaril with a concentration of 30mg/mL. How much Mellaril, in mL, will the nurse give for ONE dose?
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Question 50 of 75
50. Question
Category: Pharmacological TherapiesA patient taking Fluoxetine Hcl (Prozac) asks the nurse when the medication will start to work. The patient started this medication two weeks ago. The nurse’s response is CORRECT if she states:
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Question 51 of 75
51. Question
Category: Pharmacological TherapiesThe nurse on an oncology unit is administering Cisplatin to a patient. The nurse knows that which of the following symptoms, if reported by the patient, is expected with this type of medication?
SELECT ALL THAT APPLY:
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Question 52 of 75
52. Question
Category: Pharmacological TherapiesA patient is started on a daily amount of Phenytoin (Dilantin) 200mg PO in two divided doses. What instruction, if given by the nurse to the patient, is INCORRECT?
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Question 53 of 75
53. Question
Category: Pharmacological TherapiesA patient is ordered to receive omeprazole (Prilosec) 40mg PO daily. The pharmacy dispenses Prilosec 20mg capsules. How many capsules should the nurse administer to this patient for a single dose?
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Question 54 of 75
54. Question
Category: Pharmacological TherapiesA patient on several medications is being cared for on a medical/surgical unit by the nurse. Which of the following laboratory values, if reported to the nurse, would require follow-up?
SELECT ALL THAT APPLY:
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Question 55 of 75
55. Question
Category: Pharmacological TherapiesA 9-year-old weighs 55 pounds and is to receive cefuroxime sodium 750 mg IV every 6 hours. The recommended dose of cefuroxime sodium for children older than 1 month is 50-133 mg/kg every 24 hours. Is the ordered dose within the recommended limits? (YES or NO) __________
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Question 56 of 75
56. Question
Category: Pharmacological TherapiesThe nurse reads from the doctor’s order “Give 0.1 mL of PPD”, then prepares to administer the medication. Which technique shown below is the most correct way to give a PPD?
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Question 57 of 75
57. Question
Category: Reduction of Risk PotentialA patient learns he is scheduled for an IV pyelogram. He asks the nurse what can be expected for this test. The nurse correctly states that:
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Question 58 of 75
58. Question
Category: Reduction of Risk PotentialThe nurse is taking care of a client who underwent a thyroidectomy. Upon assessment, the nurse noticed muscle spasm and twitching of the client’s face similar to the image below. This is called ____________ and is an indication of ___________.
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Question 59 of 75
59. Question
Category: Reduction of Risk PotentialThe home care nurse visits a patient two days after cataract extraction and implant. Which of the following statements, if made by the patient, requires further teaching?
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Question 60 of 75
60. Question
Category: Reduction of Risk PotentialA patient is being discharged from the hospital after being diagnosed with lupus erthematosus. The patient is advised to follow up with what to monitor their condition?
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Question 61 of 75
61. Question
Category: Reduction of Risk PotentialWhich of the following nursing considerations is most important to prevent a rise in ICP for a patient with meningitis?
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Question 62 of 75
62. Question
Category: Reduction of Risk PotentialA patient has recovered and it is time for the physician to pull the chest tube out. During the procedure, the nurse instructs the patient to:
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Question 63 of 75
63. Question
Category: Reduction of Risk PotentialAn 8-year-old patient is admitted with a suspected fractured of the ulna. An x-ray is taken, and the nurse correctly identifies this type of fracture as:
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Question 64 of 75
64. Question
Category: Reduction of Risk PotentialA patient is recovering from pacemaker insertion surgery. Which of the following, if stated by the patient, reflects a correct understanding of discharge instructions?
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Question 65 of 75
65. Question
Category: Physiological AdaptationA patient is brought to the ER by family members. The patient states that yesterday evening, she was having tingling and numbness in the toes of both feet. Today, she complains of bilateral muscle weakness in her legs. Which of the following pieces of information, if found in the patient’s history, are most relevant to her condition?
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Question 66 of 75
66. Question
Category: Physiological AdaptationWhich of the following statements apply to the proper use of a cane?
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Question 67 of 75
67. Question
Category: Physiological AdaptationThe nurse knows that care for a patient with Bell’s palsy will include which of the following?
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Question 68 of 75
68. Question
Category: Physiological AdaptationWhen caring for a patient who experienced a head injury in a car accident, the nurse observes a bruised section behind the patient’s ear. The nurse knows that this type of marking is known as:
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Question 69 of 75
69. Question
Category: Physiological AdaptationA nurse cares for a patient with a head injury after a boating accident. The nurse knows that which of the following is an EARLY sign of increased ICP?
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Question 70 of 75
70. Question
Category: Physiological AdaptationA nurse working on a neurology unit cares for a patient diagnosed with CVA. The patient is experiencing difficulty in talking but can understand everything the nurse says. The nurse suspects damage to what part of the patient’s brain?
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Question 71 of 75
71. Question
Category: Physiological AdaptationA patient has been admitted with symptoms of BPH. Which of the following complaints, if observed by the nurse, requires follow-up?
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Question 72 of 75
72. Question
Category: Physiological AdaptationYou are a nurse on a medical/surgical unit who is caring for a patient with Grave’s Disease. The patient has just returned from a thyroidectomy. Which of the following statements from the patient would require further assessment by the nurse?
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Question 73 of 75
73. Question
Category: Physiological AdaptationThe physician has determined that a client in respiratory distress requires intubation. Organize the following steps in preparing to assist the physician with rapid-sequence intubation in chronological order (with 1 being the first step in this procedure):
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Administer sedation.
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Apply cricoid pressure if needed.
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Preoxygenate with 100% oxygen.
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Obtain a baseline assessment.
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Auscultate breath sounds bilaterally.
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Monitor the client's ECG and pulse oximeter readings.
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Question 74 of 75
74. Question
Category: Physiological AdaptationA patient with lung cancer is admitted to the ER for crackles in the lungs, sudden onset of confusion, and decreased urine output. Which of the following lab results is consistent with this complication?
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Question 75 of 75
75. Question
Category: Physiological AdaptationA nurse is reviewing the laboratory test results for all four of her diabetic clients. Which of the following, if reported by the lab, indicates poor diabetic control?
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