Test Prep National Council Licensure Examination - NCLEX-RN NCLEX-RN Dumps in PDF

Free Test Prep NCLEX-RN Real Questions (page: 6)

The primary reason for sending a burn client home with a pressure garment, such as a Jobst garment, is that the garment:

  1. Decreases hypertrophic scar formation
  2. Assists with ambulation
  3. Covers burn scars and decreases the psychological impact during recovery
  4. Increases venous return and cardiac output by normalizing fluid status

Answer(s): A

Explanation:

(A) Tubular support, such as that received with a Jobst garment, applies tension of 10­20 mm Hg. This amount of uniform pressure is necessary to prevent or reduce hypertrophic scarring. Clients typically wear a pressure garment for 6­12 months during the recovery phase of their care. (B) Pressure garments have no ambulatory assistive properties. (C) Pressure garments can worsen the psychological impact of burn injury, especially if worn on the face. (D) Pressure garments do not normalize fluid status.



Which of the following ECG changes would be seen as a positive myocardial stress test response?

  1. Hyperacute T wave
  2. Prolongation of the PR interval
  3. ST-segment depression
  4. Pathological Q wave

Answer(s): C

Explanation:

(A) Hyperacute T waves occur with hyperkalemia. (B) Prolongation of the P R interval occurs with first-degree AV block. (C) Horizontal ST-segment depression of>1 mm during exercise isdefinitely a positive criterion on the exercise ECG test. (D) Patho-logical Q waves occur with MI.



Which of the following ECG changes would be seen as a positive myocardial stress test response?

  1. Hyperacute T wave
  2. Prolongation of the PR interval
  3. ST-segment depression
  4. Pathological Q wave

Answer(s): C

Explanation:

(A) Hyperacute T waves occur with hyperkalemia. (B) Prolongation of the P R interval occurs with first-degree AV block. (C) Horizontal ST-segment depression of>1 mm during exercise isdefinitely a positive criterion on the exercise ECG test. (D) Patho-logical Q waves occur with MI.



Which of the following would the nurse expect to find following respiratory assessment of a client with advanced emphysema?

  1. Distant breath sounds
  2. Increased heart sounds
  3. Decreased anteroposterior chest diameter
  4. Collapsed neck veins

Answer(s): A

Explanation:

(A) Distant breath sounds are found in clients with emphysema owing to increased anteroposterior chest diameter, overdistention, and air trapping. (B) Deceased heart sounds arepresent because of the increased anteroposterior chest diameter. (C) A barrel- shaped chest is characteristic of emphysema. (D) Increased distention of neck veins is found owing to right-sided heart failure, which may be present in advanced emphysema.



Which of the following would the nurse expect to find following respiratory assessment of a client with advanced emphysema?

  1. Distant breath sounds
  2. Increased heart sounds
  3. Decreased anteroposterior chest diameter
  4. Collapsed neck veins

Answer(s): A

Explanation:

(A) Distant breath sounds are found in clients with emphysema owing to increased anteroposterior chest diameter, overdistention, and air trapping. (B) Deceased heart sounds arepresent because of the increased anteroposterior chest diameter. (C) A barrel- shaped chest is characteristic of emphysema. (D) Increased distention of neck veins is found owing to right-sided heart failure, which may be present in advanced emphysema.



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