NCLEX-PN
Next Generation Nclex Questions Overview 3.0 ATI Quizlet Questions
Extract:
Question 1 of 5
How does cancer affect pain tolerance in elderly clients?
Correct Answer: B
Rationale: Pain tolerance in elderly clients with cancer is likely to decrease due to factors such as diminished adaptative capacity, increased physical discomfort, and the psychological impact of the disease. Cancer is known to cause various physical and emotional stressors that can lower the pain threshold, leading to a decrease in pain tolerance.
Choices A, C, and D are incorrect because cancer and its associated effects typically result in a decrease in pain tolerance rather than remaining constant, increasing, or having no impact.
Question 2 of 5
Which of the following represents a normal serum potassium level?
Correct Answer: C
Rationale: The correct answer is 4.0 mEq/L. Normal serum potassium levels typically range from 3.5-5.5 mEq/L.
Choice A (1.5 mEq/L) is below the normal range,
Choice B (3.0 mEq/L) is also below the normal range, and
Choice D (6.0 mEq/L) is above the normal range.
Therefore, the only option within the normal range is
Choice C (4.0 mEq/L).
Question 3 of 5
When administering NSAID adjunctive therapy to an elderly client with cancer, the nurse must monitor:
Correct Answer: A
Rationale: When an elderly client with cancer is receiving NSAID therapy, monitoring BUN (blood urea nitrogen) and creatinine levels is crucial. NSAIDs can cause renal toxicity, especially in the elderly. BUN and creatinine levels help assess renal function and detect early signs of renal impairment. Monitoring creatinine alone (
Choice
B) is not sufficient as BUN provides complementary information about renal function. Monitoring hemoglobin (Hgb) and hematocrit (Hct) (
Choice
C) is important for assessing anemia but not specific to NSAID therapy in the elderly. CFT (
Choice
D) is not a standard abbreviation in this context, and monitoring coagulation function is not directly related to NSAID therapy in this scenario.
Question 4 of 5
Which cultural group has the highest incidence of inflammatory bowel disease (IBD)?
Correct Answer: B
Rationale: The correct answer is Caucasians. Studies have shown that Caucasians have the highest incidence of inflammatory bowel disease (IB
D) compared to other cultural groups. While IBD can affect individuals from various backgrounds, the prevalence is notably higher in Caucasians. Asians, Hispanics, and African Americans have a lower incidence of IBD compared to Caucasians, making them incorrect choices in this context.
Question 5 of 5
In which of the following conditions might increased cortisol levels be found?
Correct Answer: A
Rationale: Cushing's syndrome is characterized by increased cortisol levels due to the overproduction of cortisol by the adrenal glands. This excess cortisol can lead to various symptoms and complications. Addison's disease is associated with decreased cortisol levels as it results from adrenal insufficiency, making it an incorrect choice in this context. Renal failure and congestive heart failure are not typically linked to abnormal cortisol levels, further indicating that they are not the conditions where increased cortisol levels are found.