NCLEX-PN
Kaplan NCLEX Question of The Day Questions
Question 1 of 5
A healthcare provider is screening patients for various vaccines. Which of the following vaccines is contraindicated during pregnancy?
Correct Answer: C
Rationale: The correct answer is Mumps. The Mumps vaccine, along with the Rubella vaccine, is contraindicated during pregnancy due to the theoretical risk of affecting the developing fetus. Diphtheria, Hepatitis B, and Tetanus vaccines are considered safe during pregnancy and are often recommended to protect both the pregnant individual and the developing fetus.
Therefore, choices A, B, and D are incorrect.
Question 2 of 5
Which dietary consideration is most important for the nurse to teach to a client with hypothyroidism?
Correct Answer: D
Rationale: The correct answer is to 'Increase fiber.' In hypothyroidism, clients often experience constipation due to decreased metabolic rate. Increasing fiber in the diet can help alleviate constipation.
Choice A, 'Increase carbohydrate intake,' is incorrect as there is no specific need to increase carbohydrate intake in hypothyroidism.
Choice B, 'Increase fluid intake,' is not directly related to managing hypothyroidism, although adequate hydration is generally important for overall health.
Choice C, 'Avoid shellfish,' is commonly associated with hyperthyroidism due to its iodine content, not hypothyroidism.
Question 3 of 5
A client is admitted for observation following an unrestrained motor vehicle accident. A bystander stated that he lost consciousness for 1-2 minutes. On admission, the client's Glasgow Coma Scale (GCS) was 14. The GCS is now 12. The nurse should:
Correct Answer: D
Rationale: A decrease in the Glasgow Coma Scale (GCS) score from 14 to 12 indicates a significant neurological change in the client's condition. This change can be indicative of a deterioration in the client's neurological status, possibly due to intracranial bleeding or swelling. It is crucial for the nurse to notify the physician immediately to ensure prompt evaluation and intervention. Re-assessing in 15 minutes or stimulating the client with a sternal rub are not appropriate actions in this situation as they do not address the underlying cause of the decrease in GCS. Administering Tylenol with codeine for a headache is also not recommended without further assessment and evaluation of the client's condition.
Question 4 of 5
While performing wound care to a donor skin graft site, the nurse notes some scabbing at the edges and a black collection of blood. What is the nurse's next action?
Correct Answer: C
Rationale: When the nurse notes scabbing at the edges and a black collection of blood, it indicates the presence of debris that needs to be addressed. Leaving the scabbed area alone and applying extra ointment may not address the underlying issue and could lead to complications. Notifying the physician is important in some cases, but immediate action is required to prevent infection in this situation. Gently removing the debris and re-dressing the wound is the correct course of action to promote healing and prevent complications.
Question 5 of 5
Which of the following classifications of medications is used to help decrease tremors for clients with hyperthyroidism?
Correct Answer: C
Rationale: The correct answer is Beta blockers. Beta blockers are commonly used to help decrease tremors in clients with hyperthyroidism by blocking the action of adrenaline. This helps to control symptoms such as rapid heart rate, tremors, and anxiety. Steroids (
Choice
A) are not typically used to treat tremors in hyperthyroidism. Anticonvulsants (
Choice
B) are primarily used to control seizures and are not the first-line treatment for tremors in hyperthyroidism. Iodine compounds (
Choice
D) are used in the treatment of hyperthyroidism by reducing the production of thyroid hormones but are not specifically indicated for tremor relief.