NCLEX-PN
PN Nclex Questions 2024 Questions
Extract:
Question 1 of 5
How can medication bound to protein affect drug availability?
Correct Answer: C
Rationale: Medication bound to protein reduces the availability of the drug to produce desired medicinal effects because only unbound drugs can effectively bind to active receptor sites. When a drug is bound to protein, it cannot bind with receptor sites, limiting its therapeutic impact.
Choice A is incorrect because drug availability is reduced when it is bound to protein.
Choice B is incorrect as rapid distribution to receptor sites is not possible if the drug is bound to protein and cannot bind with receptors.
Choice D is incorrect as metabolism does not increase when the drug is bound to protein; the liver first needs to separate the drug from the protein before metabolism can occur.
Question 2 of 5
A client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for:
Correct Answer: C
Rationale: The correct answer is Buck's traction. This intervention is used to realign the fractured femur, reduce spasms, and alleviate pain. Placing the client in the Trendelenburg position is inappropriate for a femur fracture, making answer A incorrect. While ice may be used post-repair, applying it to the entire extremity is unnecessary, so answer B is wrong. An abduction pillow is typically employed following a total hip replacement, not for a fractured femur, rendering answer D incorrect.
Question 3 of 5
A client in the cardiac step-down unit requires suctioning for excess mucous secretions. The nurse should be most careful to monitor the client for which dysrhythmia during this procedure?
Correct Answer: A
Rationale: During suctioning, a vagal response can be triggered leading to bradycardia. It is crucial for the nurse to monitor for this potential dysrhythmia. Tachycardia (
Choice
B) is less likely during suctioning and is not the priority. Premature ventricular beats (
Choice
C) and heart block (
Choice
D) can occur but are less common compared to bradycardia in this situation.
Question 4 of 5
The nurse is caring for a dying client who has persistently requested that the nurse 'help her to die and be in peace.' According to the Code of Ethics for Nurses, the nurse should:
Correct Answer: D
Rationale: According to the Code of Ethics for Nurses, the nurse should try to make the client as comfortable as possible but refuse to assist in death. It is not within the scope of nursing practice to assist in death, even if requested by the client.
Choice A is incorrect as advance directives do not directly relate to the client's request for assistance in dying.
Choice B is inappropriate as passing the responsibility to another nurse does not address the ethical dilemma at hand.
Choice C is incorrect because instructing the client that only a physician can legally assist in suicide does not address the ethical considerations involved in the request.
Therefore, the most appropriate action for the nurse is to provide comfort measures while upholding ethical standards and not participating in ending the client's life.
Question 5 of 5
The nurse is caring for a client with laryngeal cancer. Which finding ascertained in the health history would not be common for this diagnosis?
Correct Answer: C
Rationale: Diarrhea is not a common finding in clients with laryngeal cancer. Foul breath (
A), dysphagia (
B), and chronic hiccups (
D) are expected findings associated with laryngeal cancer. Foul breath can result from tissue breakdown in the mouth and throat. Dysphagia, or difficulty swallowing, can occur due to the tumor's location affecting the swallowing mechanism. Chronic hiccups can be a symptom of irritation to the phrenic nerves from the cancer.