NCLEX-PN
NCLEX PN Exam Cram Questions
Extract:
Question 1 of 5
Clomiphene is prescribed for a female client to treat infertility. The nurse is providing information to the client and her spouse about the medication and provides the couple with which information?
Correct Answer: D
Rationale: The correct answer is that multiple births (usually twins) occur in a small percentage (8% - 10%) of clomiphene-facilitated pregnancies. The couple should be informed about this potential outcome. Clomiphene is available in 50-mg tablets for oral use; there is no intravenous form of the medication. Breast engorgement is a common side effect of clomiphene that typically resolves after discontinuation of the medication. Ovulation usually happens 5 to 10 days after the last dose of clomiphene, and the couple is advised to engage in coitus at least every other day during this time.
Therefore, choices A, B, and C are incorrect as they do not provide accurate information regarding clomiphene treatment for infertility.
Question 2 of 5
Which of the following statements should the nurse use to best describe a very low-calorie diet (VLCD) to a client?
Correct Answer: A
Rationale: The correct answer is, "This diet can be used when there is close medical supervision."? Very low-calorie diets (VLCDs) are used in the clinical treatment of obesity under close medical supervision. The diet is low in calories, high in quality protein, and has a minimum of carbohydrates to spare protein and prevent ketosis.
Choice B is incorrect because VLCDs are typically short-term interventions.
Choice C is incorrect because VLCDs usually consist of nutritionally complete liquid formulations, not solid food items that are pureed.
Choice D is incorrect because VLCDs actually contain a high quality of protein, although the overall caloric content is very low.
Question 3 of 5
A client who is newly diagnosed with Parkinson's disease and beginning medication therapy asks the nurse, 'How soon will I see improvement?' The nurse's best response is:
Correct Answer: D
Rationale: In the case of Parkinson's disease, improvement in symptoms may take several weeks of therapy to become noticeable.
Therefore, the correct answer is to inform the client that it might take several weeks before they notice improvement.
Choice A acknowledges individual variability but does not provide a specific timeframe, making it less reassuring.
Choice B suggests deferring the question to the physician, which is not the most supportive response.
Choice C is incorrect because improvement in Parkinson's disease symptoms typically does not occur within a few days.
Question 4 of 5
Which statement best describes electrolytes in intracellular and extracellular fluid?
Correct Answer: A
Rationale: Electrolytes are distributed unequally between intracellular and extracellular fluids. Sodium concentration is higher in extracellular fluid, while potassium concentration is higher in intracellular fluid.
Therefore, the correct answer is 'There is a greater concentration of sodium in extracellular fluid and potassium in intracellular fluid.'
Choices B, C, and D are incorrect because they do not accurately describe the typical distribution of sodium and potassium between intracellular and extracellular fluid.
Question 5 of 5
At what age will vision be 20/20 in children?
Correct Answer: C
Rationale: The correct answer is 6 years old. At this age, children typically have the potential for 20/20 vision. This is considered the standard age for achieving optimal vision clarity.
Choices A, B, and D are incorrect as they are not typically associated with the age at which children achieve 20/20 vision.