NCLEX-PN
2024 Nclex Questions Questions
Extract:
Question 1 of 5
A client reports that someone is in the room and trying to kill him. The nurse's best response is:
Correct Answer: B
Rationale: When a client reports hallucinations or delusions, it is crucial to respond in a non-confrontational and empathetic manner.
Choice B acknowledges the client's fear without confirming the delusion, showing understanding, and providing reassurance. This response validates the client's feelings without reinforcing the false belief. The other responses in choices A, C, and D dismiss the client's feelings or perceptions, which can escalate the situation and harm the therapeutic relationship.
Question 2 of 5
Which of the following attitudes is essential in a nurse who assists clients during crises?
Correct Answer: A
Rationale: Viewing crisis intervention as the first step in solving bigger problems is essential in a nurse who assists clients during crises. This approach focuses on addressing the immediate crisis first, which can potentially prevent the escalation of bigger problems. Wanting to help clients solve all problems identified (
Choice
B) may not be feasible or necessary during a crisis situation where immediate intervention is crucial. Taking an active role in guiding the process (
Choice
C) is important, but the primary focus should be on crisis intervention. Feeling that work requires identification with all of a client's problems (
Choice
D) may lead to a lack of focus on the immediate crisis at hand.
Question 3 of 5
A 20-year-old female has a prescription for tetracycline. While teaching the client how to take her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive pills. Which instructions should be included in the teaching plan?
Correct Answer: D
Rationale: When antibiotics and oral contraceptives are taken together, the effectiveness of the oral contraceptives can be reduced, increasing the risk of pregnancy.
Therefore, it is important to advise the client to use an alternate method of birth control to prevent unintended pregnancy.
Choices A, B, and C are incorrect because there is no evidence to suggest that oral contraceptives decrease the effectiveness of tetracycline, cause nausea, or result in toxicity when taken with antibiotics.
Question 4 of 5
The client is diagnosed with multiple myeloma. The doctor has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the client?
Correct Answer: D
Rationale: Cyclophosphamide (Cytoxan) can cause hemorrhagic cystitis, a condition characterized by inflammation of the bladder wall leading to bleeding.
To prevent this complication, the client should drink at least eight glasses of water a day. Walking to prevent calcium loss (choice
A) and increasing fiber intake (choice
B) are not directly related to the side effects of Cytoxan, making them unnecessary instructions in this case. While nausea is a common side effect of chemotherapy, the immediate reporting of nausea to the doctor (choice
C) is important but not specifically related to the use of Cytoxan in this scenario.
Question 5 of 5
Why is the intravenous route potentially the most dangerous route of drug administration?
Correct Answer: C
Rationale: The correct answer is C: rapid administration of a drug can lead to toxicity. When a drug is administered intravenously, it has 100% bioavailability, entering the bloodstream immediately and increasing the risk of toxicity if not carefully monitored. While IV infiltration (choice
A) can cause tissue damage, it is not typically life-threatening.
Choice B is incorrect as the speed of administration is not the primary reason for the danger; it is the immediate and full dose reaching the bloodstream.
Choice D is incorrect as the popularity of the route does not inherently make it more dangerous.