NCLEX-PN
Best NCLEX Next Gen Prep Questions
Extract:
Question 1 of 5
A client with an ileus is placed on intestinal tube suction. Which of the following electrolytes is lost with intestinal suction?
Correct Answer: D
Rationale: The correct answer is sodium chloride. Duodenal intestinal fluid is rich in potassium (K+), sodium (Na+), and bicarbonate. When suctioning is used to remove excess fluids due to ileus, it results in the loss of sodium chloride (NaCl) leading to decreased sodium (Na+) levels.
Choices A, B, and C are incorrect because calcium, magnesium, and potassium are not typically lost in significant amounts through intestinal tube suction in the context of treating ileus.
Question 2 of 5
Which condition is associated with inadequate intake of vitamin C?
Correct Answer: D
Rationale: Scurvy is indeed associated with inadequate intake of vitamin C. Vitamin C deficiency leads to scurvy, which is characterized by weakness, anemia, gum disease, and skin hemorrhages.
Choices A, B, and C are incorrect because rickets is caused by vitamin D deficiency, marasmus is due to severe malnutrition leading to wasting, and kwashiorkor is a form of severe protein-energy malnutrition.
Question 3 of 5
The client has been on vancomycin for three days. Which of the following symptoms is least concerning?
Correct Answer: B
Rationale: The correct answer is 'headache.' While vancomycin can cause ototoxicity leading to symptoms like tinnitus, vertigo, and nausea, headaches are not typically associated with vancomycin use.
Therefore, headache is the least concerning symptom in this scenario. Nausea, vertigo, and tinnitus are more likely to be related to vancomycin ototoxicity and should be closely monitored and reported. Headache is a common symptom that may not be directly linked to vancomycin use.
Question 4 of 5
When evaluating a kinetic family drawing, which of the following actions is most effective?
Correct Answer: D
Rationale: When evaluating a kinetic family drawing, noting the omission of any family members is an effective action. It is crucial to observe and analyze all aspects of the drawing, including what is missing. This can provide valuable insights into the child's perception and relationships within the family. Asking the child to draw their family doing something (
Choice
A) is more related to initial instruction rather than evaluation. Offering specific suggestions (
Choice
B) can influence the child's drawing and should be avoided to maintain the authenticity of the representation. Discouraging the child from talking about the drawing (
Choice
C) is counterproductive as verbal expression can provide additional context and understanding.
Question 5 of 5
When a client who is 25 years of age asks the nurse when she should seek fertility counseling, the best response by the nurse is:
Correct Answer: D
Rationale: The best response in this scenario is to offer immediate guidance while also indicating when fertility counseling should be sought. While
Choice A is technically correct as guidelines recommend seeking fertility counseling after 1 year of unprotected intercourse, it lacks providing immediate guidance.
Choice B suggests seeking counseling after 6-9 months, which is earlier than the standard recommendation of 1 year.
Choice C mentions the average time to conceive for someone of the client's age without addressing the client's current concern.
Therefore,
Choice D is the most appropriate response as it offers immediate guidance along with a plan for referral if needed.