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2016 NCLEX EXAM QUESTIONS

5121. A patient has a chest tube placement post right thoracotomy. During assessment the nurse expects all of the following findings except:
A. Chest drainage flows into the first chamber.
B. Water level in the chamber rises and falls with each respiration.
C. Use of accessory muscles with respirations.  
D. Evaluate tidaling by disconnecting chest tube from wall suction

Answer: C. Use of accessory muscles with respirations. 

5122. The thermoregulatory centre is located at
 A. Hypothalamus
 B. Pons
 C. Medulla
 D. Pituitary
Answer:  A. Hypothalamus

5123. A patient with suspected ulcers is scheduled for a diagnostic gastroscopy. During the insertion of the scope the patient experiences a vasovagal response. The nurse should expect all except:
A. The patient is given atropine before the procedure.
B. The patient has a decrease in heart rate
C.A patient has an increase in gastric secretions.

D. The patient’s pupils become dilated.

Answer: D. The patient’s pupils become dilated.

5124. Which ethical principle is the nurse utilizing when supporting the decision of a client to terminate chemotherapy treatments?
A. Justice
B. Confidentiality
C. Fidelity
D. Autonomy 

Answer: D. Autonomy 

5125. A patient presents to the emergency room with the following symptoms: Anxiety, dyspnea, rhonchi, fever, Oxygen saturation of 88%, and a pH of 7.21. The nurse realized that the patient suffering from:
A. Respiratory acidosis
B. Metabolic alkalosis 
C. Respiratory alkalosis
D. Metabolic acidosis

Answer: B. Metabolic alkalosis 

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