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Home Test Prep NCLEX-PN

Test Prep NCLEX-PN Exam Practice Questions (P. 4)

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Question #31
A pregnant Asian client who is experiencing morning sickness wants to take ginger to relieve the nausea. Which of the following responses by the nurse is appropriate?
  1. A
    "I will call your physician to see if we can start some ginger."
  2. B
    "We don’t use home remedies in this clinic."
  3. C
    "Herbs are not as effective as regular medicines."
  4. D
    "Just eat some dry crackers instead."

Correct Answer:
A
This statement reveals cultural sensitivity. Ginger is sometimes used to relieve nausea. The other statements are culturally insensitive and do not show an awareness of herbal pharmacology. Physiological Adaptation

Question #32
Which of the following medications is a serotonin antagonist that might be used to relieve nausea and vomiting?
  1. A
    metoclopramide (Reglan)
  2. B
    onedansetron (Zofran)
  3. C
    hydroxyzine (Vistaril)
  4. D
    prochlorperazine (Compazine)

Correct Answer:
B
Zofran is a serotonin antagonist that can be used to relieve nausea and vomiting. The other medications can be used for nausea and vomiting, but they have different mechanisms of action. Physiological Adaptation

Question #33
Which of the following is likely to increase the risk of sexually transmitted disease?
  1. A
    alcohol use
  2. B
    certain types of sexual practices
  3. C
    oral contraception use
  4. D
    all of the above

Correct Answer:
D
STDs affect certain groups in groups in greater numbers. Factors associated with risk include being younger than 25 years of age, being a member of a minority group, residing in an urban setting, being impoverished, and using crack cocaine. Physiological Adaptation

Question #34
Teaching the client with gonorrhea how to prevent reinfection and further spread is an example of:
  1. A
    primary prevention.
  2. B
    secondary prevention.
  3. C
    tertiary prevention.
  4. D
    primary health care prevention.

Correct Answer:
B
Secondary prevention targets the reduction of disease prevalence and disease morbidity through early diagnosis and treatment. Physiological Adaptation

Question #35
The nurse teaching about preventable diseases should emphasize the importance of getting the following vaccines:
  1. A
    human papilloma virus, genital herpes, measles.
  2. B
    pneumonia, HIV, mumps.
  3. C
    syphilis, gonorrhea, pneumonia.
  4. D
    polio, pertussis, measles.

Correct Answer:
D
Vaccines are one of the most effective methods of preventing and controlling certain communicable diseases.
The smallpox vaccine is not currently in use because the smallpox virus has been declared eradicated from the worlds population. Diseases such as polio, diphtheria, pertussis, and measles are mostly controlled by routine childhood immunization. They have not, however, been eradicated, so children need to be immunized against these diseases. Physiological Adaptation

Question #36
Acyclovir is the drug of choice for:
  1. A
    HIV.
  2. B
    HSV 1 and 2 and VZV.
  3. C
    CMV.
  4. D
    influenza A viruses.

Correct Answer:
B
Acyclovir (Zovirax) is specific for treatment of herpes virus infections. There is no cure for herpes. Acyclovir is excreted unchanged in the urine and therefore must be used cautiously in the presence of renal impairment.
Drugs that treat herpes inhibit viral DNA replication by competing with viral substrates to form shorter, ineffective DNA chains. Physiological Adaptation

Question #37
A safety measure to implement when transferring a client with hemiparesis from a bed to a wheelchair is:
  1. A
    standing the client and walking him or her to the wheelchair.
  2. B
    moving the wheelchair close to client’s bed and standing and pivoting the client on his unaffected extremity to the wheelchair.
  3. C
    moving the wheelchair close to client’s bed and standing and pivoting the client on his affected extremity to the wheelchair.
  4. D
    having the client stand and push his body to the wheelchair.

Correct Answer:
B
Moving the wheelchair close to clients bed and having him stand and pivot on his unaffected extremity to the wheelchair is safer because it provides support with the unaffected limb. Basic Care and Comfort

Question #38
Assessment of a client with a cast should include:
  1. A
    capillary refill, warm toes, no discomfort.
  2. B
    posterior tibial pulses, warm toes.
  3. C
    moist skin essential, pain threshold.
  4. D
    discomfort of the metacarpals.

Correct Answer:
A
Assessment for adequate circulation is necessary. Signs of impaired circulation include slow capillary refill, cool fingers or toes, and pain. Basic Care and Comfort

Question #39
In teaching clients with Buck’s Traction, the major areas of importance should be:
  1. A
    nutrition, ROM exercises.
  2. B
    ROM exercises, transportation.
  3. C
    nutrition, elimination, comfort, safety.
  4. D
    elimination, safety, isotonic exercises.

Correct Answer:
C
Nutrition, elimination, comfort, and safety are the major areas of importance. The diet should be high in protein with adequate fluids. Basic Care and Comfort

Question #40
When a client informs the nurse that he is experiencing hypoglycemia, the nurse provides immediate intervention by providing:
  1. A
    one commercially prepared glucose tablet.
  2. B
    two hard candies.
  3. C
    4–6 ounces of fruit juice with 1 teaspoon of sugar added.
  4. D
    2–3 teaspoons of honey.

Correct Answer:
D
The usual recommendation for treatment of hypoglycemia is 1015 grams of a fast-acting simple carbohydrate, orally, if the client is conscious and able to swallow
(for example, 34 commercially prepared glucose tablets or 46 oz of fruit juice). It is not necessary to add sugar to juice, even if it is labeled as unsweetened juice because the fruit sugar in juice contains enough simple carbohydrate to raise the blood glucose level. Addition of sugar might result in a sharp rise in blood sugar that could last for several hours. Physiological Adaptation

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