NCLEX-PN
NCLEX Questions on Health Promotion and Maintenance Questions
Extract:
Question 1 of 5
A patient has suffered a left CVA and has developed severe hemiparesis resulting in a loss of mobility. The nurse notices on assessment that an area over the patient's left elbow appears as non-blanchable erythema and the skin is intact. The nurse should score the patient as having which of the following?
Correct Answer: A
Rationale: Erythema with the skin intact can indicate a Stage I pressure ulcer.
Question 2 of 5
Hormonal agents are used to treat some cancers. An example is:
Correct Answer: C
Rationale: Estrogen antagonists are used to treat estrogen hormone-dependent cancer, such as breast carcinoma. A well-known estrogen antagonist used in breast cancer therapy is Tamoxifen (Nolvadex). This drug, in combination with surgery and other chemotherapeutic drugs, reduces breast cancer recurrence by 30%. Estrogen antagonists can also be administered to prevent breast cancer in women who have a strong family history of the disease. Thyroxine is a natural thyroid hormone. It does not treat thyroid cancer. ACTH is an anterior pituitary hormone that stimulates the adrenal glands to release glucocorticoids; it does not treat adrenal cancer. Glucagon is a pancreatic alpha cell hormone that stimulates glycogenolysis and gluconeogenesis; it does not treat pancreatic cancer.
Question 3 of 5
A patient has recently been prescribed (Norvasc). Which of the following side effect/s should the patient specifically watch out for?
Correct Answer: A
Rationale: Both angina and hypotension are associated with Norvasc's side effects.
Question 4 of 5
A patient has recently been prescribed Albuterol. Which of the following changes are not associated with Albuterol?
Correct Answer: D
Rationale: Tachycardia, hypertension, and bronchodilation can all occur with Albuterol.
Question 5 of 5
Fat emulsions are frequently administered as a part of total parenteral nutrition. Which statement is true regarding fat emulsions?
Correct Answer: A
Rationale: They have a high energy-to-fluid-volume ratio. Fat emulsions are formulated in 10%, 20%, and 30% solutions and supply 1.1, 2, and 3 kilocalories respectively for each milliliter. A milliliter of 5% dextrose only supplies 0.17 kilocalories.
Choices 2, 3, and 4 are incorrect because fat emulsions are essentially pH neutral and isotonic.