NCLEX-PN
Nclex Exam Cram Practice Questions Questions
Extract:
Question 1 of 5
A Hispanic client brings her father to the clinic because he is becoming more forgetful. He is diagnosed with Alzheimer's disease. The woman tells the nurse that she wants to try ginkgo biloba for her father before using prescription medications. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The appropriate response is to acknowledge the client's wishes and communicate them to the physician for consideration. It is important to be culturally sensitive and respect the client's preferences. Ginkgo biloba has shown some benefits in treating dementia, so it is essential to involve the healthcare provider in the decision-making process.
Choices A, B, and C are dismissive and fail to consider the client's perspective and cultural beliefs. It is crucial for healthcare professionals to engage in open communication and collaboration with clients to provide patient-centered care.
Question 2 of 5
Which of the following lab values is associated with a decreased risk of cardiovascular disease?
Correct Answer: B
Rationale: High HDL cholesterol is associated with a decreased risk of cardiovascular disease because HDL cholesterol is known as 'good' cholesterol. It helps remove other forms of cholesterol, like LDL cholesterol, from the bloodstream, reducing the risk of plaque buildup in the arteries. Low HDL cholesterol (
Choice
B) is actually a risk factor for cardiovascular disease because it means there is less of the 'good' cholesterol to perform its protective functions. Low total cholesterol (
Choice
C) and low triglycerides (
Choice
D) are not necessarily associated with a decreased risk of cardiovascular disease, as the balance and types of cholesterol play a more crucial role in heart health.
Question 3 of 5
A client with major head trauma is receiving bolus enteral feeding. The most important nursing order for this client is:
Correct Answer: A
Rationale: The correct action for a client with major head trauma receiving bolus enteral feeding is to measure intake and output (I&O). Enteral feedings are hyperosmotic agents that can cause fluid shifts. Monitoring I&O is crucial to assess fluid balance, ensuring that input matches output. Checking albumin levels (choice
B) is important for assessing nutritional status but is not the immediate priority in this situation. Monitoring glucose levels (choice
C) is also important but not as critical as measuring I&O in this context. Increasing enteral feeding (choice
D) should only be done based on a healthcare provider's order after assessing the patient's condition, not as the most important nursing order at this time.
Question 4 of 5
A client with which of the following conditions is at risk for developing a high ammonia level?
Correct Answer: D
Rationale: Cirrhosis is the correct answer. In cirrhosis, the liver is unable to detoxify ammonia to urea, leading to an accumulation of ammonia in the blood. This can result in hepatic encephalopathy, a condition characterized by high ammonia levels affecting brain function. Renal failure (
Choice
A), psoriasis (
Choice
B), and lupus (
Choice
C) are not directly associated with an increased risk of high ammonia levels as seen in cirrhosis.
Question 5 of 5
Which of the following is not considered one of the five rights of medication administration?
Correct Answer: D
Rationale: The five rights of medication administration are dose, client, drug, route, and time. The correct answer is 'routine' as it is not commonly recognized as one of the essential rights in medication administration.
Choice A, client, is necessary to ensure the right medication is administered to the right individual.
Choice B, drug, is crucial to confirm the correct medication is given.
Choice C, dose, is essential to ensure the right amount of medication is administered.
Choice D, routine, is not typically included in the five rights of medication administration and is therefore the correct answer.