NCLEX-PN
NCLEX PN Exam Cram Questions
Extract:
Question 1 of 5
A 27-year-old woman has delivered twins in the OB unit. The patient develops a condition of 5-centimeter diastasis recti abdominis. Which of the following statements is the most accurate when instructing the patient?
Correct Answer: C
Rationale: After experiencing diastasis recti abdominis, it is crucial for the patient to protect and guard the abdominal region to facilitate healing.
Choice A is correct since avoiding sit-ups is important to prevent worsening the condition by increasing intra-abdominal pressure.
Choice B is accurate as not all cases of diastasis recti abdominis require surgery; conservative management is often effective.
Choice D is also correct as antibiotics are not indicated for diastasis recti abdominis since it is a separation of the abdominal muscles and not an infectious condition.
Question 2 of 5
Which of the following is not typically considered one of the main mechanisms of Type II Diabetes treatment?
Correct Answer: D
Rationale: Continuous Insulin is not typically considered one of the main mechanisms for treating Type II Diabetes. While medications, nutrition, and increased activity play crucial roles in managing Type II Diabetes, continuous insulin therapy is more common in Type I Diabetes or in specific cases of Type II Diabetes where other treatments are ineffective.
Therefore, the correct answer is Continuous Insulin.
Choices A, B, and C are mainstays in the treatment of Type II Diabetes, making them incorrect answers.
Question 3 of 5
A young female teenager describes a brutal assault and rape to the nurse on duty. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: In a situation where a patient describes a brutal assault and rape, the first priority should be to provide emotional support and create a safe and supportive environment. This helps the patient feel secure and cared for, which is crucial for their well-being at that moment. Checking with the case manager about police intervention should come after ensuring the patient's immediate emotional needs are addressed. Cleaning the patient's wounds, though important, can be secondary to providing emotional stabilization. Referring the patient to a counselor specializing in trauma is also crucial for long-term support, but the immediate focus should be on providing emotional support and stability.
Question 4 of 5
The factor that most determines drug distribution is:
Correct Answer: A
Rationale: The correct answer is 'vascular perfusion of the tissue or organ.' Drug distribution is primarily determined by how well the circulatory system delivers the drug to various tissues and organs. Adequate perfusion ensures proper distribution of the drug throughout the body. While the salt form (choice
B), drug interactions (choice
C), and steady state (choice
D) can influence drug efficacy and metabolism, they are not as crucial as vascular perfusion for the initial distribution of a drug.
Question 5 of 5
Which of the following situations requires nurse intervention?
Correct Answer: C
Rationale: The correct answer is C. Patient confidentiality must be maintained at all times to respect the patient's privacy and dignity. Disclosing sensitive information like a patient's prognosis in a public setting violates confidentiality and can cause distress. The nurse should intervene in this situation and educate the nursing student about the importance of not discussing confidential patient information in public.
Choices A, B, and D do not involve breaching patient confidentiality and do not require immediate nurse intervention.
Choice A focuses on infection control measures, choice B relates to clinical assessment, and choice D is about the doctor's rounds, which are not urgent matters requiring immediate intervention.