August 13, 2011

NCLEX-RN Practice Question Challenge!

Correct Answer: 3

1: Assessment: Outcome desired but not priority, cyanosis is a late sign of respiratory distress
2: Assessment: Outcome not desired, priority is to assess respiratory status. Blood pressure may change due to decreased arterial oxygen levels, priority is to correct underlying problem
3: CORRECT | Assessment: Outcome priority, will give early and clearest indication of respiratory status. Will hear changes with narrowed airways, fluid in alveoli or pneumothorax
4: Assessment: Outcome desired but not priority, late indication of respiratory distress. Intercostal muscles are accessory muscles