NCLEX-PN Quizlet 2023 - Nurselytic

Questions 71

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Quizlet 2023 Questions

Question 1 of 5

How can light therapy be effective?

Correct Answer: D

Rationale: Light therapy can be effective in treating problems associated with sleep patterns, stress, moods, jaundice in newborns, and seasonal affective disorders. While light therapy may have other potential benefits, such as improving mood or helping with seasonal affective disorders, the main focus and effectiveness of light therapy are commonly linked to regulating sleep patterns.
Therefore, the correct answer is 'Working with sleep patterns.'

Choices A, B, and C are incorrect as light therapy is not primarily used for overcoming weight problems, helping with allergies, or solely as an alternative medical treatment.

Question 2 of 5

Which of the following observations is most important when assessing a client's breathing?

Correct Answer: C

Rationale: The correct answer is the presence of breathing and adequacy of breathing. It is crucial not only to confirm that the client is breathing but also to ensure that the breathing is adequate for proper oxygenation.

Choices A, B, and D are incorrect because while pulse rate, breathing pattern, and patient position are relevant aspects to consider, the most critical observations in assessing a client's breathing are the presence and adequacy of breathing.

Question 3 of 5

Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with:

Correct Answer: A

Rationale: Erythropoietin is necessary for red blood cell (RB
C) production, and in clients with renal failure who lack endogenous erythropoietin, exogenous erythropoietin is administered. However, for erythropoietin to effectively stimulate RBC production, adequate levels of iron, folic acid, and vitamin B12 are crucial. These nutrients are essential for RBC synthesis and maturation.
Therefore, the correct answer is to give iron, folic acid, and B12 with erythropoietin.
Choice B, an increase in protein in the diet, is not necessary for RBC production and may exacerbate uremia in clients with renal failure.

Choices C and D, vitamins A and C, and an increase in calcium in the diet, respectively, are not directly related to RBC production and are not required to enhance the effectiveness of erythropoietin.

Question 4 of 5

How can a diet high in fiber content benefit an individual?

Correct Answer: C

Rationale: A diet high in fiber content can help lower cholesterol levels by reducing the absorption of cholesterol in the bloodstream. Fiber-rich foods, like grains, apples, potatoes, and beans, can aid in this process. While fiber can aid in weight loss by promoting a feeling of fullness and aiding digestion, it is not primarily for fast weight loss. Fiber does not directly reduce the risk of diabetic ketoacidosis, which is more related to managing blood sugar levels through insulin therapy and dietary control. Folate is a B vitamin that is essential for various bodily functions and is not influenced by fiber intake.
Therefore, the correct answer is to lower cholesterol, as fiber plays a significant role in this benefit.

Question 5 of 5

A client has been taking a drug (Drug A) that is highly metabolized by the cytochrome P-450 system. He has been on this medication for 6 months. At this time, he is started on a second medication (Drug B) that is an inducer of the cytochrome P-450 system. You should monitor this client for:

Correct Answer: C

Rationale: When a client is taking a drug (Drug
A) metabolized by the cytochrome P-450 system and is then started on another drug (Drug
B) that induces this system, the metabolism of Drug A is increased. This results in decreased therapeutic effects of Drug A as it is broken down more rapidly. Monitoring is required to address potential reduced efficacy. The therapeutic effect of Drug A is diminished, not enhanced. Inducing the cytochrome P-450 system does not directly increase the adverse effects of Drug B. Although Drug B is an inducer, its therapeutic effects are not decreased as it is not metabolized faster.

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