NCLEX-PN
2024 Nclex Questions Questions
Extract:
Question 1 of 5
A complication of total parenteral nutrition (TPN) is the development of cholestasis. What is this condition?
Correct Answer: B
Rationale: Cholestasis due to TPN administration is an intrahepatic process that interrupts the normal flow of bile. It is characterized by a reduction or stoppage of bile flow.
Choice A, an inflammatory process of the extrahepatic bile ducts, refers to cholangitis, not cholestasis.
Choice C, an inflammation of the gallbladder, describes cholecystitis, a different condition.
Choice D, the formation of gallstones, is not correct as cholestasis is about the flow of bile, not the formation of gallstones.
Question 2 of 5
Which of the following clients should refrain from therapy with the thiazide diuretic hydrochlorothiazide?
Correct Answer: C
Rationale: The correct answer is a client with diabetes mellitus, type II. Thiazide diuretics like hydrochlorothiazide can cause metabolic abnormalities, including elevated blood glucose levels. This increase is linked to diuretic-induced potassium deficiency, which reduces insulin secretion, leading to higher plasma glucose levels. Thiazides are commonly used in clients with renal impairment and hypertension. Moreover, thiazides decrease calcium excretion, reducing the risk of renal calculi, so it is not contraindicated for clients with kidney stones.
Therefore, clients with diabetes mellitus, type II should avoid therapy with hydrochlorothiazide due to the potential adverse effects on blood glucose levels.
Question 3 of 5
While walking in the hallway of an acute care unit of the hospital, the nurse overhears the change of shift report. What should the nurse do?
Correct Answer: A
Rationale:
To protect the confidentiality of the information being reported, the nurse should make the charge nurse on the unit aware of the situation. This allows the charge nurse to take necessary steps to maintain confidentiality and ensure that the information is communicated in an appropriate and private manner. Disclosing the situation to the charge nurse is essential to address any breaches in confidentiality and uphold professional standards of privacy and ethics. Disregarding the information, returning to their own unit without disclosure, or ignoring the situation altogether would not address the breach of confidentiality and could lead to further issues regarding patient privacy and trust.
Question 4 of 5
A complication of total parenteral nutrition (TPN) is the development of cholestasis. What is this condition?
Correct Answer: B
Rationale: Cholestasis due to TPN administration is an intrahepatic process that interrupts the normal flow of bile. It is characterized by a reduction or stoppage of bile flow.
Choice A, an inflammatory process of the extrahepatic bile ducts, refers to cholangitis, not cholestasis.
Choice C, an inflammation of the gallbladder, describes cholecystitis, a different condition.
Choice D, the formation of gallstones, is not correct as cholestasis is about the flow of bile, not the formation of gallstones.
Question 5 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.