NCLEX-PN
PN Nclex Questions 2024 Questions
Extract:
Question 1 of 5
An adult who had been abused as a child is discussing the group therapy program. Which statement indicates that the client has gained insight?
Correct Answer: B
Rationale: The correct answer demonstrates insight gained by the client regarding their emotional state. Recognizing deep-seated anger that was previously unrecognized indicates progress in understanding their emotions and the impact of past abuse.
Choice A reflects a sense of loneliness due to an inability to share about the abuse, which does not directly address emotional insight.
Choice C shows progress in addressing relationships but does not specifically relate to emotional awareness.
Choice D acknowledges shared experiences but does not reflect personal emotional growth or insight.
Question 2 of 5
Narrow therapeutic index medications:
Correct Answer: C
Rationale: The therapeutic index is the ratio between the median lethal dose and median effective dose of a drug, indicating the safety margin. Narrow therapeutic index medications have a small difference between minimum toxic levels and minimum effective concentration in the blood, making them high-risk drugs that require close monitoring to avoid toxicity.
Choice A is incorrect because pharmacokinetics refer to drug absorption, distribution, metabolism, and elimination, not the therapeutic index.
Choice B is incorrect because narrow therapeutic index drugs necessitate monitoring due to their narrow margin of safety.
Choice D is incorrect because narrow therapeutic index drugs do not necessarily have limited potency but are characterized by a small window between efficacy and toxicity.
Question 3 of 5
While the client is receiving quinidine, the nurse should monitor the ECG for:
Correct Answer: D
Rationale: Quinidine can cause widened Q-T intervals and heart block, leading to a prolonged QT interval on the ECG. Other signs of myocardial toxicity associated with quinidine include notched P waves and widened QRS complexes. Common side effects of quinidine include diarrhea, nausea, and vomiting, while less common effects may include tinnitus, vertigo, headache, visual disturbances, and confusion. Monitoring for a prolonged QT interval is crucial due to the potential risk of serious arrhythmias.
Choices A, B, and C are not typically associated with the use of quinidine and are therefore incorrect in this context.
Question 4 of 5
The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?
Correct Answer: C
Rationale: The most crucial assessment during the preoperative period for a client scheduled for surgical repair of a sacular abdominal aortic aneurysm is the identification of peripheral pulses. This is essential because during surgery, the aorta will be clamped, potentially affecting blood circulation to the kidneys and lower extremities. Monitoring peripheral pulses helps assess circulation to the lower extremities, ensuring adequate perfusion. While assessing the client's anxiety level (choice
A) is important, it is not as critical as monitoring peripheral pulses in this case. Evaluating exercise tolerance (choice
B) is not typically recommended preoperatively for this specific condition. Assessing bowel sounds and activity (choice
D) is also relevant but takes a lower priority compared to identifying peripheral pulses in this scenario.
Question 5 of 5
In performing a psychosocial assessment, the nurse begins by asking questions that encourage the client to describe problematic behaviors and situations. The next step is to elicit the client's
Correct Answer: B
Rationale: In performing a psychosocial assessment, the nurse follows a structured approach, starting with encouraging the client to describe problematic behaviors and situations. The next step is to elicit the client's thoughts about what has been described. This step helps gather more assessment data and understand how the client interprets the situation. Asking about feelings, exploring possible solutions, and understanding the client's intent in sharing the description are more complex processes that come later in the assessment.
Therefore, the correct next step after describing behaviors and situations is to inquire about the client's thoughts.