NCLEX-PN
Quizlet NCLEX PN 2023 Questions
Extract:
Question 1 of 5
Is head lag expected to be resolved by 4 months of age? Continuing head lag at 6 months of age may indicate?
Correct Answer: B
Rationale: Head lag is a developmental milestone that should be resolved by 4 months of age. Continuing head lag at 6 months of age may indicate potential developmental delays or muscle weakness. The correct answer, 'Nausea, vomiting, diarrhea, or constipation, and stomach cramps,' reflects symptoms that could be associated with developmental delays or underlying health conditions. Dizziness and orthostatic hypotension (
Choice
A) are unlikely to be directly related to head lag.
Choices C and D present symptoms that are unrelated to the issue of continued head lag at 6 months of age.
Question 2 of 5
When caring for a client with a possible diagnosis of placenta previa, which of the following admission procedures should the nurse omit?
Correct Answer: B
Rationale: The correct answer is 'enema.' Administering an enema to a client with placenta previa can dislodge the placenta, leading to an increased risk of bleeding and complications. It is crucial to avoid any interventions that may disrupt the placenta's positioning. Collecting urine and blood specimens are necessary for diagnostic purposes and monitoring, while a perineal shave is a routine procedure that does not pose a risk to the client with placenta previa.
Question 3 of 5
Is head lag expected to be resolved by 4 months of age? Continuing head lag at 6 months of age may indicate?
Correct Answer: B
Rationale: Head lag is a developmental milestone that should be resolved by 4 months of age. Continuing head lag at 6 months of age may indicate potential developmental delays or muscle weakness. The correct answer, 'Nausea, vomiting, diarrhea, or constipation, and stomach cramps,' reflects symptoms that could be associated with developmental delays or underlying health conditions. Dizziness and orthostatic hypotension (
Choice
A) are unlikely to be directly related to head lag.
Choices C and D present symptoms that are unrelated to the issue of continued head lag at 6 months of age.
Question 4 of 5
A client with sickle cell disease is worried about passing the disease on to children. Which of the following statements by the PN is most appropriate for this client?
Correct Answer: B
Rationale: A client with sickle cell disease has a genetic condition that can be passed on to their offspring. The most appropriate statement for the PN to provide is to acknowledge this fact and inform the client that sickle cell disease is genetically based and might be passed on to children. This empowers the client with accurate information.
Choice A has been refined to emphasize discussing the inheritance risk, making it a better option than the vague original choice.
Choices C and D provide incorrect information. Sickle cell disease is indeed genetically based and can be inherited.
Question 5 of 5
When a person using over-the-counter nasal decongestant drops experiences unrelieved and worsening nasal congestion, what should be instructed?
Correct Answer: B
Rationale: When a person using over-the-counter nasal decongestant drops experiences unrelieved and worsening nasal congestion, it is crucial to discontinue the medication for a few weeks. Prolonged use of decongestant drops can lead to rebound congestion, which is relieved by stopping the medication for a period of time. Nasal congestion occurs due to various factors like infection, inflammation, or allergy, leading to swelling of the nasal cavity. Nasal decongestants work by stimulating alpha-adrenergic receptors, causing vasoconstriction and shrinking of nasal mucous membranes. However, prolonged use can result in vasodilation, worsening nasal congestion. Switching to a stronger dose of the same medication is not recommended as it can exacerbate the issue. Continuing the same medication more frequently or using a combination of medications are also not advised and may lead to side effects. Educating individuals on proper decongestant use and potential risks of prolonged usage is essential, especially for those with specific health conditions.