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National Council Licensure Examination(NCLEX-PN) Questions 476–480 (page: 97)

Updated On: 9-Feb-2026

When working after the occurrence of a natural disaster, the LPN uses a color coding system for triaging patients.

Which of these would be an accurate example of this?

  1. A black sticker is placed on a patient whose injuries prove to be fatal.
  2. Red is placed on a patient who is losing a lot of blood due to massive trauma.
  3. Green is placed on a patient with an occluded airway and difficulty breathing.
  4. Yellow is placed on a patient who is stable and can wait the longest to be treated.

Answer(s): A



A nurse at outpatient clinic is returning phone calls that have been made to the clinic. Which of the following calls should have the highest priority for medical intervention?

  1. A home health patient reports, “I am starting to have breakdown of my heels.”
  2. A patient that received an upper extremity cast yesterday reports, “I can’t feel my fingers in my right hand today.”
  3. A young female reports,” I think I sprained my ankle about 2 weeks ago.”
  4. A middle-aged patient reports,” My knee is still hurting from the TKR.”

Answer(s): B

Explanation:

The patient experiencing neurovascular changes should have the highest priority. Pain following a TKR is normal, and breakdown over the heels is a gradual process. Moreover, a subacute ankle sprain is almost never a medical emergency.



A patient is currently having a petit mal seizure in the clinic on the floor. Which of the following criteria has the highest priority in this situation?

  1. Provide a safe environment free of obstructions in the immediate area
  2. Call a code
  3. Contact the patient’s physician
  4. Prevent excessive movement of the extremities

Answer(s): A

Explanation:

Patient safety should be the top concern about this patient.



A client is going to have an endoscopy performed.

Which of the following is not a probable reason for an endoscopy procedure?

  1. Aspiration noted on honey thick diet.
  2. Pain with a bowel movement
  3. Pain felt in the left upper quadrant
  4. Right shoulder pain

Answer(s): B

Explanation:

Bowel movement pain should be examined with a colonoscopy not an endoscopy.



Which preventive measure can be employed to decrease the risk of compartment syndrome?

  1. The administration of a potassium sparing diuretic for heart failure.
  2. A bivalve cast for a skeletal fracture.
  3. A cerebral diuretic to decease intracranial pressure after a head injury.
  4. A chest tube to restore normal intrathoracic pressure after a pneumothorax.

Answer(s): B

Explanation:

A bivalve cast, rather than a solid fiberglass or plaster of Paris cast, for a skeletal fracture can prevent limb threatening compartment syndrome.
Compartment syndrome results from increased pressure and circulatory constriction because a solid cast does not accommodate post fracture swelling like a bivalve cast does.
Compartment syndrome is not related to heart failure, head injuries or pneumothoraxes.



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