NCLEX-RN & Med-Surg exam 2023 with 100% correct answers

NCLEX-RN #630, pg. 730 The nurse is preparing to suction a client via a tracheostomy tube. The nurse should plan to limit the suctioning time to a maximum of which time period? 1. 5 seconds 2. 10 seconds 3. 30 seconds 4. 60 seconds 2 NCLEX-RN #631, pg. 730 The nurse is suctioning a client via an endotracheal tube. During the suctioning procedure, the nurse notes on the monitor that the heart rate is decreasing. Which intervention is appropriate? 1. Continue to suction 2. Notify the HCP immediately 3. Stop the procedure and reoxygenate the client 4. Ensure that the suction is limited to 15 seconds 3 NCLEX-RN #632, pg. 731 The nurse is assessing the respiratory status of a client who has suffered a fractured rib. The nurse should expect to note which finding? 1. Slow, deep respirations 2. Rapid, deep respirations 3. Paradoxical respirations 4. Pain, especially with inspiration 4 NCLEX-RN #633, pg. 730 A client with a chest injury has suffered flail chest. The nurse assesses the client for which most distinctive sign of flail chest? 1. Cyanosis 2. Hypotension 3. Paradoxical chest movement 4. Dyspnea, especially on exhalation 3 NCLEX-RN #634, pg. 730 A client has been admitted with chest trauma after a MVA and has undergone subsequent intubation. The nurse checks the client when the high-pressure alarm on the ventilator sounds, and notes that the client has absence of breath sounds in the right upper lobe of the lung. The nurse immediately assesses for other sings of which condition? 1. Right pneumothorax 2. Pulmonary embolism 3. Displace endotracheal tube 4. Acute respiratory distress syndrome 1 NCLEX-RN #635, pg. 730 The nurse is assessing a client with multiple trauma who is at risk for developing acute respiratory distress syndrome. The nurse should assess for which earliest sign of acute respiratory distress syndrome? 1. Bilateral wheezing 2. Inspiratory crackles 3. Intercostal retractions 4. Increased respiratory rate 4