NCLEX-PN
Health Promotion and Maintenance NCLEX PN Questions Questions
Extract:
Question 1 of 5
A chemical reaction between drugs prior to their administration or absorption is known as:
Correct Answer: A
Rationale: A drug incompatibility occurs when drugs react chemically before administration, potentially reducing efficacy or causing harm. Side effects and adverse events occur post-administration, and allergic responses are immune-mediated.
Question 2 of 5
A nurse is trying to motivate a client toward more effective management of a therapeutic regimen. Which of the following actions by the nurse is most likely to be effective in increasing the client's motivation?
Correct Answer: C
Rationale: For maximum effectiveness, teach the client about the disorder at the client's level of understanding.
Question 3 of 5
During a routine office visit, which of the following developmental milestones should the nurse screen for in a 6-month-old child?
Correct Answer: B
Rationale: The correct developmental milestone for a 6-month-old child that should be screened during a routine office visit is rolling over. At this age, infants typically start rolling over from their stomach to their back and vice versa. Sitting up usually occurs between 7 and 8 months, creeping between 9 and 10 months, and standing while holding something between 8 and 10 months.
Therefore, choices A, C, and D are developmentally appropriate but not typically expected at 6 months of age.
Question 4 of 5
An LPN is taking care of an elderly client who experiences the effects of Sundowner's Syndrome almost every evening. Which of these interventions implemented by the nurse would be the most helpful?
Correct Answer: A
Rationale: A nightlight will help reorient the client to his or her surroundings in the evening and nighttime hours. It is best not to challenge the reality of a client experiencing Sundowner's Syndrome, and sedatives may make the effects of the syndrome worse. Every effort should be made to keep the client's room calm, quiet, and peaceful, so noise should be kept to a minimum. Reminding the client that what they are experiencing is not real may cause distress and confusion, while turning on the TV or radio may add unnecessary stimulation instead of promoting a soothing environment.
Question 5 of 5
The LPN is caring for a client newly diagnosed with HIV. Which statement made by the client regarding antiretroviral therapy (ART) would require correction from the nurse?
Correct Answer: D
Rationale: The correct answer is the statement, "I know I will need to come back for blood draws so that I can begin ART when my CD4 count is over 1,000 cells/mm3."? This statement would require correction from the nurse because initiating ART when the CD4 count is over 1,000 cells/mm3 is not supported by guidelines. The World Health Organization (WHO) recommends making treatment a priority for those with a CD4 count of ≤350 cells/mm3, as early intervention can help delay disease progression.
Therefore, waiting for a CD4 count of over 1,000 cells/mm3 is not in line with current recommendations.
Choice A is correct, as studies have shown that using condoms along with ART can significantly reduce the risk of HIV transmission to sexual partners.
Choice B is also correct because being Hepatitis C positive does not contraindicate the use of ART.
Choice C is correct as well, as ART is typically needed indefinitely to maintain viral suppression and manage HIV.
Therefore, the only statement that would require correction is
Choice D.