NCLEX-PN Practice Test 3
10 free NCLEX-PN practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Question 1 of 10
Reduction of Risk PotentialMedical Record
1015: Client had a coughing spell and then said, 'I felt something pop and give way in my belly.' Dressing soaked with pink fluid. Midline incision open about 6 cm in the middle; loops of pink, moist bowel are visible through the opening. Client anxious, holding the abdomen. History: obesity (body mass index 38), type 2 diabetes, smokes 1 pack per day. Another nurse is calling the surgeon.
| Time | T | HR | RR | BP | SpO2 |
|---|---|---|---|---|---|
| 0800 | 37.1 °C (98.8 °F) | 86/min | 18/min | 132/80 mm Hg | 96% room air |
| 1015 | 37.2 °C (99.0 °F) | 110/min | 24/min | 126/78 mm Hg | 95% room air |
The nurse is caring for a 58-year-old client on postoperative day 5 after an open colon resection and reviews the medical record.
Complete the diagram by selecting from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.