NCLEX-PN
Quizlet NCLEX PN 2023 Questions
Extract:
Question 1 of 5
A patient has fallen off a bicycle and fractured the head of the proximal fibula. A cast was placed on the patient's lower extremity. Which of the following is the most probable result of the fall?
Correct Answer: A
Rationale: The correct answer is peroneal nerve injury. The head of the proximal fibula is in close proximity to the peroneal nerve, making it susceptible to injury when there is a fracture. The peroneal nerve runs along the fibula and can be affected by trauma to this area.
Choice B, tibial nerve injury, is incorrect as the fracture site is closer to the peroneal nerve, not the tibial nerve.
Choice C, sciatic nerve injury, is incorrect as the injury is more localized to the fibular head area where the peroneal nerve is affected.
Choice D, femoral nerve injury, is incorrect as the femoral nerve is not immediately adjacent to the proximal fibula and is not typically affected by this type of injury.
Question 2 of 5
Which physiologic mechanism best describes the function of the sodium-potassium pump?
Correct Answer: A
Rationale: Active transport is the correct answer as it accurately describes the process involved in the sodium-potassium pump. The pump utilizes energy to move ions against their concentration gradient, maintaining cellular concentrations. Diffusion (choice
B) is a passive process where substances move from an area of higher concentration to lower concentration. Filtration (choice
C) involves the movement of solutes based on pressure gradients. Osmosis (choice
D) is the movement of water across a semipermeable membrane.
Question 3 of 5
A mother of a newborn notices a nurse placing liquid in her baby's eyes. Which of the following is an inaccurate statement about the need for eyedrops following birth?
Correct Answer: D
Rationale: The correct answer is 'Eyedrops are required by law every 6 hours following birth.' This statement is inaccurate because while laws do require the placement of eyedrops, physicians indicate a specific timeframe for their administration.
Choice A is correct because eyedrops following birth do help reduce the risk of eye infection by preventing ophthalmia neonatorum.
Choice B is incorrect as it implies that eyedrops are mandated solely by law, without considering medical reasons.
Choice C is accurate as eyedrops do help keep the eye moist, preventing dryness and discomfort.
Question 4 of 5
If your patient is acutely psychotic, which of the following independent nursing interventions would not be appropriate?
Correct Answer: C
Rationale: When a patient is acutely psychotic, they may not be able to effectively participate in group therapy due to their altered mental state. Group settings can be overwhelming and may exacerbate the patient's symptoms.
Choices A, B, and D are appropriate interventions.
Choice A is correct as providing calmness through one-on-one interaction can be beneficial in establishing trust and reducing anxiety.
Choice B is also important as recognizing and managing the nurse's feelings can prevent further escalation of the patient's symptoms.
Choice D is relevant as listening and identifying causes of the patient's behavior can aid in understanding and providing appropriate care tailored to the patient's needs.
Question 5 of 5
Which sexually transmitted disease, sometimes referred to as the silent STD, is more common than gonorrhea and a leading cause of PID?
Correct Answer: D
Rationale: The correct answer is Chlamydia. Chlamydia is a common sexually transmitted infection that can often be asymptomatic, earning it the nickname 'silent STD.' It is more common than gonorrhea and is a leading cause of Pelvic Inflammatory Disease (PI
D). Genital herpes (
Choice
A) is a viral infection, not a bacterial STD like chlamydia. Trichomoniasis (
Choice
B) is a parasitic infection and not commonly associated with causing PID. Syphilis (
Choice
C) is a bacterial infection but is not as common as chlamydia and is not a leading cause of PID.