NCLEX-PN
NCLEX PN 2023 Quizlet Questions
Extract:
Question 1 of 5
A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, "I need this surgery because nothing else I have done has helped me to lose weight."? Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: The most appropriate response by the nurse is to show respect and empathy towards the client's decision. Option D acknowledges the client's autonomy and decision-making process, fostering a therapeutic relationship. Options A, B, and C are insensitive and unprofessional. Option A implies a financial incentive for weight loss, which can be perceived as disrespectful and trivializing the client's concerns. Option B suggests an alternative method without considering the client's reasons for choosing surgery, potentially invalidating her experiences. Option C recommends a specific diet without addressing the client's concerns or choices, neglecting her autonomy in decision-making.
Question 2 of 5
Teaching the client with gonorrhea how to prevent reinfection and further spread is an example of
Correct Answer: B
Rationale: The correct answer is B: secondary prevention. This type of prevention focuses on reducing the impact of a disease by early detection and treatment. In the case of gonorrhea, teaching the client how to prevent reinfection and further spread falls under secondary prevention because it aims to reduce the prevalence and morbidity of the disease.
Choice A (primary prevention) involves measures to prevent the disease from occurring in the first place, such as vaccination.
Choice C (tertiary prevention) focuses on managing the long-term consequences of a disease to prevent complications.
Choice D (primary health care prevention) is not a recognized term in prevention strategies.
Question 3 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 is not typically used for overcoming weight problems or helping with allergies, it is specifically known for its benefits in regulating sleep patterns.
Therefore, the correct answer is 'working with sleep patterns.'
Choices A, B, and C are incorrect as light therapy is not commonly utilized for overcoming weight problems, helping with allergies, or as a general alternative medical treatment.
Question 4 of 5
Which of the following medications is a serotonin antagonist that might be used to relieve nausea and vomiting?
Correct Answer: B
Rationale: Zofran is a serotonin antagonist commonly used to relieve nausea and vomiting by blocking serotonin receptors. Metoclopramide (Reglan) acts on dopamine receptors, hydroxyzine (Vistaril) is an antihistamine, and prochlorperazine (Compazine) is a dopamine antagonist. While these medications can also be used for nausea and vomiting, they do not primarily function as serotonin antagonists like ondansetron.
Question 5 of 5
The nurse is assessing the newborn's respirations. Which of these findings would indicate a need for follow-up and further intervention?
Correct Answer: D
Rationale: The ideal respiratory rate in a newborn is 30-60 breaths per minute. A respiratory rate of 70 breaths per minute indicates tachypnea and may require intervention.
Therefore, a rate of 70 breaths per minute would necessitate follow-up and further intervention. Irregular, abdominal, and shallow respirations are common in newborns and may not necessarily indicate the need for immediate follow-up or intervention.