Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions - Part 110

1. A nurse notes that an elderly client suddenly does not keep appointments and is not wearing appropriate clothing. Which statement by the client raises the suspicion of financial abuse?

A) 'I am having difficulty paying for this new antibiotic the physician prescribed.'
B) 'I am a little short on cash since my daughter moved in to help me.'
C) 'I have not felt like shopping since the weather has gotten worse.'
D) 'People do not realize how difficult it is to make ends meet on a fixed income.'

2. A client needs to rapidly achieve a therapeutic plasma drug concentration of a medication. Rather than wait for steady state to be achieved, the physician might order:

A) a maintenance dose.
B) a loading dose.
C) a medication with no first-pass effect.
D) the medication to be given intravenously.

3. In hanging a parenteral IV fluid that is to be infused by gravity, rather than with an infusion pump, the nurse notes that the IV tubing is available in different drop factors. Which tubing is a microdrop set?

A) 15 drops per milliliter
B) 60 drops per milliliter
C) 20 drops per milliliter
D) 10 drops per milliliter

4. The ICU nurse caring for a client who has just been declared brain dead can expect to find evidence of the client - s wishes regarding organ donation:

A) on the driver - s license of the client.
B) in the client - s safety deposit box.
C) in the client - s last will and testament.
D) on the client - s insurance card.

5. An 85-year-old client is eligible for Medicare reimbursable home care services. Referral is contingent on meeting which of the following criteria?

A) homebound status, requiring skilled therapy care
B) immediate previous hospitalization for acute care
C) age
D) requirement of nursing and social work support

1. Right Answer: B
Explanation: Elderly clients on fixed incomes have difficulty meeting new expenses, such as medicine. Signs of financial abuse include unexplained illnesses that are left untreated, an inability to pay rent or purchase clothes and food, and inaccurate knowledge about finances. Financial abuse is a form of elder abuse and requires investigation. Psychosocial Integrity

2. Right Answer: B
Explanation: A loading or priming dose rapidly establishes a therapeutic plasma drug level. It can be calculated by multiplying the volume of distribution by the desired plasma drug concentration. A maintenance dose maintains a therapeutic level after the loading dose. It takes five drug half-lives to achieve steady state if no loading dose is given. Choice 3 is similar to a maintenance dose. Intravenous administration provides excellent drug bioavailability, but one dose will not achieve a therapeutic plasma level. Pharmacological Therapies

3. Right Answer: B
Explanation: All microdrop sets are calculated to give 60 drops for each milliliter of IV fluid. Macrodrop sets are calculated to give 10, 15, or 20 drops for each milliliter of IV fluid.Pharmacological Therapies

4. Right Answer: A
Explanation: In most states, indication of organ donor status is found on the drivers license. Evidence in a last will and testament or in a safety deposit box is not readily accessible for decision-making if the need arises. Insurance cards do not contain such information. Another source might be the clients primary care physicians health record documentation. Coordinated Care

5. Right Answer: A
Explanation: The requirements for Medicare-reimbursable home care services include the client being homebound and requiring a skilled service, such as PT/OT/ST/nursing/ social work. Coordinated Care

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