Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 23
Questions 1. A 65-year-old female client is experiencing postmenopausal bleeding. Which type of physician should this client be encouraged to see?A) a radiologistB) a gynecologistC) a physiatristD) an oncologist2. People who live in poverty are most likely to obtain health care from:A) their primary care physician (family doctor).B) a neighborhood clinic.C) specialists.D) Emergency Departments or urgent care centers.3. Quality is defined as a combination of all of the following except:A) conforming to standards.B) performing at the minimally acceptable level.C) meeting or exceeding customer requirements.D) exceeding customer expectations.4. All of the following are common reasons that nurses are reluctant to delegate except:A) lack of self-confidence.B) desire to maintain authority.C) confidence in subordinates.D) getting trapped in the 'I can do it better myself' mindset.5. Following the change of shift report, the nurse should analyze the information and set priorities accordingly. When the plan has been formulated, at what point during the shift can or should the nurses plan be altered or modified?A) halfway through the shiftB) at the end of the shift before the nurse reports offC) when needs changeD) after the top-priority tasks have been completed Right Answer and Explanation: 1. Right Answer: BExplanation: A gynecologist is the physician who treats and manages disease of the female reproductive organs. A radiologist evaluates X-rays. A physiatrist is the physician manager of a rehabilitation team. An oncologist treats clients with cancer. Coordinated Care2. Right Answer: DExplanation: Statistical patterns of health care utilization indicate that Emergency Departments and urgent care centers provide a large portion of health care to those who live in poverty. Coordinated Care3. Right Answer: BExplanation: Compliance or performance at the minimally acceptable level is not considered quality care. Coordinated Care4. Right Answer: CExplanation: If a delegator has confidence in his subordinates and feels that a task will be performed correctly, he is more likely to delegate. Reasons that delegators are reluctant to delegate include their own lack of confidence, fear of losing authority or personal satisfaction, and feeling that the task can only be performed correctly if they do it themselves. Coordinated Care5. Right Answer: CExplanation: The nurse changes the plan to respond to changes in needs. Coordinated Care .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 24
Questions 1. A client states, 'I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?' The nurse should respond with which of the following statements?A) Sleep at least 6 - 8 hours a night.B) Practice monthly self-breast examination.C) Reduce stress.D) All of the above.2. A 35-year-old Latin-American client wishes to lose weight to reduce her chances of developing heart disease and diabetes. The client states, 'I do not know how to make my diet work with the kind of foods that my family eats.' What should the nurse do first to help the client determine a suitable diet for disease prevention?A) Provide her with copies of the approved dietary guidelines for the American Diabetic Association and the American Heart Association.B) Ask the client to provide a list of the types of foods she eats to determine how to best meet her needs.C) Provide a high-protein diet plan for the client.D) Provide the client with information related to risk factors for heart disease and diabetes.3. According to the ANA Code of Ethics for Nurses, professional nurses have an ethical obligation to:A) clients (patients).B) the profession of nursing.C) provide high-quality care.D) all of the above.4. The role of the incident report in risk management is:A) liability protection.B) to provide data for analysis by a risk manager to determine how future problems can be avoided.C) to discipline staff for errors.D) all of the above.5. Which of the following individuals may legally give informed consent?A) an 86-year-old male with advanced Alzheimer - s diseaseB) a 14-year-old girl needing an appendectomy who isnotan emancipated minorC) a 72-year-old female scheduled for a heart transplantD) a 6-month-old baby needing bowel surgery Right Answer and Explanation: 1. Right Answer: DExplanation: All of the choices are methods of preventing cancer. Sleep is important in maintaining homeostasis, which helps the body respond to disease. Monthly breast examination can indicate cancer or fibrocystic disease. The body has a physiological response to stress that can decrease the immune response and increase the risk of disease. Health Promotion and Management2. Right Answer: BExplanation: Assessment is the first step. Assessing what the client eats helps the nurse determine a plan for dietary recommendations based on the ADA and AHA guidelines.Providing the client with a copy of the guidelines is important but is not the first priority. Based on the clients wish to reduce her chances of heart disease and diabetes, a high-protein diet plan might not be appropriate. Providing information to the client related to risk factors for heart disease and diabetes is important but is not the first step. Health Promotion and Management3. Right Answer: DExplanation: All the choices are elements of the ANA Code of Ethics for Nurses. Coordinated Care4. Right Answer: BExplanation: Incident reports are a tool for determining how future problems can be avoided. Incident reports do not provide liability protection. Incident reports are not meant to be used for disciplining staff. Safety and Infection Control5. Right Answer: CExplanation: The 72-year-old client scheduled for heart transplant surgery may give informed consent for the surgery. There are no age limitations with the exception of minors.Choices 1, 2, and 4 are incorrect. An individual with advanced Alzheimers disease is incompetent to make decisions. Only an emancipated minor may give consent (a 14-year-old child who lives alone, away from family, and is totally independent). Infants are unable to give consent. Coordinated Care .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 25
Questions 1. A wrong committed by one person against another (or against the property of another) that might result in a civil trial is:A) a tort.B) a crime.C) a misdemeanor.D) a felony.2. The family carries out its health care functions in which of the following ways?A) Family provides very little preventive health care to its members at home.B) Family provides sick care to its members.C) Family pays for most health services.D) Family decides when and where to hospitalize its members.3. What is the primary theory that explains a family - s concept of health and illness?A) Health Belief ModelB) Education-School-Completing FactorC) Family Health Expert FactorD) Disconnected Family Factor4. Health promotion activities are designed to help clients:A) reduce the risk of illness.B) maintain maximal function.C) promote healthy habits related to health care.D) all of the above.5. Rehabilitation services begin:A) when the client enters the health care system.B) after the client requests rehabilitation services.C) after the client - s physical condition stabilizes.D) when the client is discharged from the hospital. Right Answer and Explanation: 1. Right Answer: AExplanation: Torts are wrongs committed by one person against another person (or against the property of another), which might result in civil trials. A crime is also defined as a wrong against a person or their property but is considered to be against the public as well. Misdemeanors are crimes that are commonly punishable with fines or imprisonment for less than one year, with both or with parole. A felony is a serious crime punishable by imprisonment in a State or Federal penitentiary for more than one year. Coordinated Care2. Right Answer: BExplanation: The family provides sick care to its members. The other options are incorrect. Prevention and Early Detection of Disease3. Right Answer: AExplanation: The Health Belief Model describes readiness factors; the perceived feelings of susceptibility and seriousness of the health problem (the threat); and positive motivation to maintain, regain, or attain wellness. Health Promotion and Maintenance4. Right Answer: DExplanation: Health promotion activities are designed to help clients reduce the risk of illness, maintain maximum function, and promote health habits related to health care.Health Promotion and Maintenance5. Right Answer: AExplanation: Rehabilitation services should begin when the client enters the health care system. Health Promotion and Maintenance .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 26
Questions 1. In conducting a health screening for 12-month-old children, the nurse expects them to have been immunized against which of the following diseases?A) measles, polio, pertussis, hepatitis BB) diptheria, pertussis, polio, tetanusC) rubella, polio, pertussis, hepatitis AD) measles, mumps, rubella, polio2. As part of a routine health screening, the nurse notes the play of a 2-year-old child. Which of the following is an example of age-appropriate play at this age?A) builds towers with several blocksB) tries to color within the linesC) says 'Mine!' when playing with toysD) tries to jump rope3. Vaccines provide what type of immunity?A) activeB) passiveC) transplacentalD) active and passive4. A 2-year-old child diagnosed with HIV comes to a clinic for immunizations. Which of the following vaccines should the nurse expect to administer in addition to the scheduled vaccines?A) pneumococcal vaccineB) hepatitis A vaccineC) Lyme disease vaccineD) typhoid vaccine5. Ms. Petty is having difficulty falling asleep. Which of the following measures promote sleep?A) exercising vigorously for 20 minutes each night beginning at 9:30 p.m.B) taking a cool shower and drinking a hot cup of teaC) watching TV nightly until midnightD) getting a back rub and drinking a glass of warm milk Right Answer and Explanation: 1. Right Answer: BExplanation: By 12 months of age, the child should have had DtaP and polio. MMR is not administered until a child is 12 months of age. Health Promotion and Maintenance2. Right Answer: CExplanation: Toddlers are possessive and struggle for independence. The other play activities are too advanced for a 2-year-old child. Health Promotion and Maintenance3. Right Answer: AExplanation: Vaccines provide active immunity. Passive immunity comes from antibodies produced in another human or host. Transplacental immunity comes from passive immunity transferred from mother to infant. Health Promotion and Maintenance4. Right Answer: AExplanation: Pneumococcal vaccine should be administered as a supplemental vaccine. Hepatitis A vaccine is for travelers and individuals with chronic liver disease. The Lyme disease vaccine is for people between the ages of 15 and 70 who are at risk for Lyme disease (transmitted by ticks primarily). The typhoid vaccine is for workers in microbiology laboratories who frequently work with Salmonella typhi. Health Promotion and Maintenance5. Right Answer: DExplanation: These are appropriate measure to promote sleep. Choices 1, 2, and 3 are all stimulation actions that increase arousal and wakefulness. Basic Care and Comfort .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 27
Questions 1. A 4-year-old client is unable to go to sleep at night in the hospital. Which nursing intervention best promotes sleep for the child?A) turning out the room light and closing the doorB) tiring the child during the evening with play exercisesC) identifying the child - s home bedtime rituals and following themD) encouraging visitation by friends during the evening2. The 24-hour day-night cycle is known as:A) circadian rhythm.B) infradium rhythm.C) ultradian rhythm.D) non-REM rhythm.3. Which of the following solutions is routinely used to flush an IV device before and after the administration of blood to a client?A) 0.9% sodium chlorideB) 5% dextrose in water solutionC) sterile waterD) Heparin sodium4. Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is an advantage of using CVADs for chemotherapeutic agent administration?A) CVADs are less expensive than a peripheral IV.B) Weekly administration is possible.C) Chemotherapeutic agents can be caustic to smaller veins.D) The client or family can administer the drug at home.5. The chemotherapeutic DNA alkylating agents such as nitrogen mustards are effective because they:A) cross-link DNA strands with covalent bonds between alkyl groups on the drug and guanine bases on DNA.B) have few, if any, side effects.C) are used to treat multiple types of cancer.D) are cell-cycle-specific agents. Right Answer and Explanation: 1. Right Answer: CExplanation: Preschool-age children require bedtime rituals that should be followed in the hospital if possible. Choice 1 increases a childs fear. Choices 2 and 4 do not promote sleep. Basic Care and Comfort2. Right Answer: AExplanation: Circadian rhythm is rhythmic repetition of patterns each 24 hours. The other options are incorrect.Basic Care and Comfort3. Right Answer: AExplanation: Normal saline is 0.9% sodium chloride. This solution has the same osmolarity as blood. Its use does not cause lysis of cells. Choices 2 and 3 are hypotonic solutions that can cause cell lysis. Choice 4 is an anticoagulant.Pharmacological Therapies4. Right Answer: CExplanation: Many chemotherapeutic drugs are vesicants (highly active corrosive materials that can produce tissue damage even in low concentrations). Administration into a large vein is optimal. Choice 1 is incorrect because CVADs are more expensive than a peripheral IV. Choice 2 is incorrect because dosing depends on the drug.Choice 4 is incorrect because IV chemotherapeutic agents are not routinely administered at home; they are usually given in a hospital or in an outpatient or clinic setting. Pharmacological Therapies5. Right Answer: AExplanation: Alkylating agents are highly reactive chemicals that introduce alkyl radicals into biologically active molecules and thereby prevent their proper functioning, replication, and transcription. Choice 2 is incorrect because alkylating agents have numerous side effects including alopecia, nausea, vomiting, and myelosuppression. Choice 3 is incorrect because nitrogen mustards have a broad spectrum of activity against chronic lymphocytic leukemia, non-Hodgkins lymphoma, and breast and ovarian cancer, but they are effective chemotherapeutic agents because of DNA crosslinkage. Choice 4 is incorrect because alkylating agents are non-cell-cycle-specific agents. Pharmacological Therapies .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 28
Questions 1. Medication bound to protein can have which of the following effects?A) enhancement of drug availabilityB) rapid distribution of the drug to receptor sitesC) less availability to produce desired medicinal effectsD) increased metabolism of the drug by the liver2. The physician orders the antibiotics ampicillin (Omnipen) and gentamicin (Garamycin) for a newly admitted client with an infection. The nurse should:A) administer both medications simultaneously.B) give the medications sequentially, and flush well between them.C) ask the physician or pharmacy which medication to give first and how long to wait before giving the other drug.D) start one medication now and begin the other medication in 2 - 4 hours.3. Fat emulsions are frequently administered as a part of total parenteral nutrition. Which statement is true regarding fat emulsions?A) They have a high energy-to-fluid-volume ratio.B) Even though hypertonic, they are well tolerated.C) They are a basic solution secondary to the addition of sodium hydroxide (NaOH).D) The pH is alkaline, making them compatible with most medications.4. The nurse wishes to decrease a client - s use of denial and increase the client - s expression of feelings. To do this the nurse should:A) tell the client to stop using the defense mechanism of denial.B) positively reinforce each expression of feelings.C) instruct the client to express feelings.D) challenge the client each time denial is used.5. A 57-year-old woman is recently widowed. She states, 'I will never be able to learn how to manage the finances. My husband did all of that.' Select the nurse - s response that could help raise the clients self-esteem.A) 'You feel inadequate because you have never learned to balance a checkbook.'B) 'You should have insisted your husband teach you about the finances.'C) 'You are strong and will learn how to manage your finances after awhile.'D) 'Why don - t you take a class in basic finance from the local college?' Right Answer and Explanation: 1. Right Answer: CExplanation: Only an unbound drug can be distributed to active receptor sites. Therefore, the more of a drug that is bound to protein, the less it is available for the desired drug effect. Choice 1 is incorrect because less drug is available if it is bound to protein. Choice 2 is incorrect because distribution to receptor sites is irrelevant if the drug, which is bound to protein, cannot bind with a receptor site. Choice 4 is incorrect because metabolism is not increased. The liver first has to remove the drug from the protein molecule before metabolism can occur. The protein is then free to return to circulation and be used again. Pharmacological Therapies2. Right Answer: BExplanation: A client with an infection needs both antibiotics as soon a possible. However, the pH of ampicillin is 810, and the pH of gentamicin is 35.5 (making them incompatible when given together). Flushing well between drugs is necessary. Choice 3 is incorrect because the PN determines the correct steps and consults with the pharmacist and the physician as necessary. Choice 4 is incorrect because delaying the second medication by several hours slows the treatment of the clients infection. Pharmacological Therapies3. Right Answer: AExplanation: They have a high energy-to-fluid-volume ratio. Fat emulsions are formulated in 10%, 20%, and 30% solutions and supply 1.1, 2, and 3 kilocalories respectively for each milliliter. A milliliter of 5% dextrose only supplies 0.17 kilocalories. Choices 2, 3, and 4 are incorrect because fat emulsions are essentially pH neutral and isotonic. Pharmacological Therapies4. Right Answer: BExplanation: The nurse should positively reinforce each expression of feelings. Psychosocial Integrity5. Right Answer: CExplanation: The nurse can raise the clients self-esteem by communicating confidence the client can participate in actively finding solutions to the problem. The nurse also conveys the client is a worthwhile person by listening and accepting the clients feelings and praising the client for seeking assistance. Psychosocial Integrity .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 29
Questions 1. An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?A) knowledge that elder abuse is rareB) personal belief that abuse is deservedC) lack of developmentally appropriate screening toolsD) fear of reprisal or further violence if the incident is reported2. The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?A) 'How did you get those bruises?'B) 'Did someone grab you by your arms?'C) 'Do you fall often?'D) 'What did you bump against?'3. Distribution of a drug to various tissues is dependent on the amount of cardiac output to each type of tissue. Which tissue would receive the highest amount of cardiac output and thus the highest amount of a drug?A) skinB) adipose tissueC) skeletal muscleD) myocardium4. A syringe pump is a type of electronic infusion pump used to infuse fluids or medications directly from a syringe. This device is commonly used for:A) solutions administered in obstetrics.B) dilute antibiotics.C) large volumes of IV solution.D) the neonatal and pediatric populations.5. A client with massive chest and head injuries is admitted to the ICU from the Emergency Department. All of the following are true except:A) B.the physician in charge of the case is the only person allowed to decide whether organ donation can occur.B) C.the client - s legally responsible party may make the decision for organ donation for the donor if the client is unable to do so.C) D.the organ procurement organization makes the decision regarding which organs to harvest.D) Right Answer and Explanation: 1. Right Answer: DExplanation: Barriers to reporting elder abuse include victim shame, fear of reprisals, fear of loss of caregiver, and lack of knowledge of agencies that provide services. Many elders fear that reporting abuse results in their placement in long-term care because the current caregiver is the abuser. Choices 1 and 3 are incorrect. Choice 2 might be true but is not the best choice. Psychosocial Integrity2. Right Answer: BExplanation: Using a direct approach is best when asking about suspected abuse. Clients are reluctant to report abuse because of shame and fear of reprisal. PsychosocialIntegrity3. Right Answer: DExplanation: Highly perfused tissue includes all vital organs: the brain, heart, kidneys, adrenal glands, and liver. Choices 1, 2, and 3 are incorrect because the skin and adipose tissue are poorly perfused, while the skeletal muscle is better perfused. Pharmacological Therapies4. Right Answer: DExplanation: Small volumes of medication or fluids are delivered and sometimes at slow rates to neonates and pediatric clients. The syringe pump allows precise infusion of small volumes. Choice 1 is incorrect because a syringe pump can be used in almost any setting, but is not generally for adult clients. Choices 2 and 3 are incorrect because large volumes of fluids are not administered with a syringe pump. Pharmacological Therapies5. Right Answer: CExplanation: The clients legally responsible party may make the decision for organ donation if the client is unable to do so. The donor (or legally responsible party for the donor), the physician, and the organ-procurement organization are all involved in the process regarding whether organ donation is appropriate for a specific donor.Coordinated Care .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 30
Questions 1. A 45-year-old client with type I diabetes is in need of support services upon discharge from a skilled rehabilitation unit. Which of the following services is an example of a skilled support service?A) shopping for groceriesB) house cleaningC) transportation to physician - s visitsD) medication instruction2. Narrow therapeutic index medications:A) are drug formulations with limited pharmacokinetic variability.B) have limited value and require no monitoring of blood levels.C) have less than a twofold difference in minimum toxic levels and minimum effective concentration in the blood.D) have limited potency and side effects.3. A client can receive the mumps, measles, rubella (MMR) vaccine if he or she:A) is pregnant.B) is immunocompromised.C) is allergic to neomycin.D) has a cold.4. A chemical reaction between drugs prior to their administration or absorption is known as:A) a drug incompatibility.B) a side effect.C) an adverse event.D) an allergic response.5. A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:A) naloxone (Narcan).B) labetalol (Normodyne).C) neostigmine (Prostigmin).D) thiothixene (Navane). Right Answer and Explanation: 1. Right Answer: DExplanation: The only skilled service listed is medication instruction. Grocery shopping, house-cleaning services, and transportation services are all examples of unskilled services offered by volunteer and fee-for-service agencies.Coordinated Care2. Right Answer: CExplanation: The therapeutic index is the ratio between the median lethal dose and median effective dose of a drug. It provides a general indication of the margin of safety of a drug. Choice 1 is incorrect because pharmacokinetics is the process of adsorption, distribution, metabolism, and elimination. Choice 2 is incorrect because narrow therapeutic index drugs require close monitoring since there is often little difference between the desired drug effect and toxicity. Choice 4 is incorrect because narrow therapeutic index have the potential for severe toxic effects with only slight increases in the dose or slight decreases in elimination. PharmacologicalTherapies3. Right Answer: DExplanation: A simple cold without fever does not preclude vaccination. Choices 1 and 2 are incorrect because pregnant women and immunocompromised individuals cannot have the MMR vaccine because the rubella component is a live virus and might cause birth defects and/or disease. Choice 3 is incorrect because the AmericanAcademy of Pediatrics states, 'Persons who have experienced anaphylactic reactions to topically or systemically administered neomycin should not receive measles vaccine.' Pharmacological Therapies4. Right Answer: AExplanation: This occurs most often when drug solutions are combined before they are given intravenously but can occur with orally administered drugs as well. Choices 2, 3, and 4 are incorrect because drugs can cause these events after administration and absorption. Pharmacological Therapies5. Right Answer: AExplanation: Naloxone is an opiate antagonist. It attaches to opiate receptors and blocks or reverses the action of narcotic analgesics. Choice 2 is incorrect because Labetalol is a beta blocker. Choice 3 is incorrect because Neostigmine is an anticholinesterase agent. Choice 4 is incorrect because Thiothixene is an antipsychotic agent.Pharmacological Therapies .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 31
Questions 1. A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:A) naloxone (Narcan).B) labetalol (Normodyne).C) neostigmine (Prostigmin).D) thiothixene (Navane).2. The greatest time savers when planning client care include all of the following except:A) reacting to the crisis of the moment.B) setting goals.C) planning.D) specifying priorities.3. Common problems for supervisors include all of the following except:A) the supervisor facilitates development of staff members.B) the supervisor micromanages staff members.C) the supervisor wants to control the style in which a staff member correctly performs a task.D) the supervisor does not delegate.4. What significant event occurs in the orientation phase of a nurse-client relationship?A) establishment of rolesB) identification of transference phenomenonC) placement of the client within the client - s family structureD) client agreement that the nurse has the authority in the relationship5. At what point in the nurse-client relationship should termination first be addressed?A) in the working phaseB) in the termination phaseC) in the orientation phaseD) when the client initially brings up the topic Right Answer and Explanation: 1. Right Answer: BExplanation: Tolerance is the capacity to ingest an increasing amount of a substance without effect and the experience of decreased sensitivity to the substance. Tolerance can develop with long-term use of many drugs. Choice 1 is the dose required to produce a defined magnitude of drug effect. Choice 3 binds to a receptor and causes an action. Choice 4 is the maximal response produced by a drug. Pharmacological Therapies2. Right Answer: AExplanation: The greatest time-savers when planning client care are activities that facilitate focus and completion of priority items. Time-savers include setting goals, establishing priorities, planning tasks, delegating where appropriate, re-assessment, and ongoing evaluation of needs. Coordinated Care3. Right Answer: AExplanation: Facilitating the development of staff members is an important goal for a supervisor. Micromanagement, intolerance for individual differences in style, and inability to delegate all interfere with team building and overall effectiveness. Coordinated Care4. Right Answer: BExplanation: Transference phenomena are intensified in relationships with authority, such as physicians and nurses. Common positive transferences include desire for affection and gratification of dependency needs. Common negative transferences include hostility and competitiveness. These transferences must be recognized and resolved before growth and positive change can be undertaken in the working stage. Psychosocial Integrity5. Right Answer: CExplanation: The client has a right to know the parameters of the nurse-client relationship. If the relationship is to be time limited, the client should be informed of the number of sessions. If it is open-ended, the termination date is not known at the outset, and the client should know that this is an issue that is negotiated at a later date.Coordinated Care .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
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