NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
A child has just been diagnosed with juvenile idiopathic arthritis. Which of the following statements about the disease is most accurate?
Correct Answer: C
Rationale: The correct answer is that nonsteroidal anti-inflammatory drugs are the first choice in treatment for juvenile idiopathic arthritis (formerly known as juvenile rheumatoid arthritis). NSAIDs are important as a first-line treatment and typically require 3-4 weeks for the therapeutic anti-inflammatory effects to be realized.
Choice A is incorrect as early treatment can improve outcomes and prevent joint deformities.
Choice B is incorrect as juvenile idiopathic arthritis does not necessarily progress to adult rheumatoid arthritis.
Choice D is incorrect as physical activity should be encouraged in children with arthritis to maintain joint mobility and overall health.
Question 2 of 5
A client is scheduled for a percutaneous transluminal coronary angioplasty (PTCA). The nurse knows that a PTCA is
Correct Answer: C
Rationale: Percutaneous transluminal coronary angioplasty (PTC
A) is a procedure that involves compressing plaque against the wall of a diseased coronary artery to improve blood flow. It is a minimally invasive procedure performed during a cardiac catheterization to open blockages in the coronary arteries. Surgical repair of a diseased coronary artery refers to procedures like coronary artery bypass grafting (CABG), not PTCA. Placement of an automatic internal cardiac defibrillator is a different intervention used for managing cardiac arrhythmias, not for improving coronary blood flow. A non-invasive radiographic examination of the heart would typically refer to procedures like a cardiac CT scan or an MRI, not PTCA.
Question 3 of 5
Which laboratory test result should the nurse monitor to evaluate the effects of therapy for a 62-year-old female patient with acute pancreatitis?
Correct Answer: C
Rationale: The correct answer is C: Amylase. In acute pancreatitis, amylase levels are typically elevated. Monitoring amylase levels helps assess the effectiveness of therapy in managing the condition. Elevated amylase is a key indicator of pancreatic inflammation. Calcium (
Choice
A) levels may be affected in pancreatitis, but they are not the primary indicator for evaluating therapy effectiveness. Bilirubin (
Choice
B) and Potassium (
Choice
D) levels may also be altered in pancreatitis, but they are not specific markers for monitoring therapy response in acute pancreatitis.
Question 4 of 5
A man is receiving heparin subcutaneously. The patient has dementia and lives at home with a part-time caretaker. The nurse is most concerned about which side effect of heparin?
Correct Answer: C
Rationale: The correct answer is 'Risk for Bleeding.' A patient with dementia may have impaired judgment and may be prone to falls or injuries, increasing the risk of bleeding while on heparin therapy. Monitoring for signs of bleeding is crucial in this situation.
Choice A, 'Back Pain,' is not a common side effect of heparin.
Choice B, 'Fever and Chills,' is not a typical side effect of heparin but may indicate other underlying conditions.
Choice D, 'Dizziness,' is not a common side effect of heparin and is not the primary concern in this scenario.
Question 5 of 5
Which of the following types of dressing changes works as a form of wound debridement?
Correct Answer: D
Rationale: The correct answer is 'Wet to dry dressing.' Wet to dry dressing is a method of wound debridement that involves applying sterile soaked gauze to the wound, allowing it to dry and stick to the wound. When the dressing is removed, it pulls away drainage and debris, aiding in wound debridement.
Choice A, 'Dry dressing,' does not actively assist in debridement as it does not collect or remove debris from the wound.
Choice B, 'Transparent dressing,' is primarily used for maintaining a moist environment and wound observation, not for debridement.
Choice C, 'Composite dressing,' combines multiple layers for different wound care purposes but is not specifically designed for debridement like wet to dry dressing.