NCLEX-PN
Health Promotion and Maintenance NCLEX PN Questions Questions
Extract:
Question 1 of 5
Local anesthetics block the conduction of pain impulses to the spinal cord. Their duration of action:
Correct Answer: B
Rationale: Diffusion and absorption depend on the chemical properties of the anesthetic and other factors such as local pH and blood flow. Duration might or might not be longer than general anesthesia. Duration can be short if the type of local anesthetic is a short-acting agent. Client weight is not a factor.
Question 2 of 5
A nurse is preparing to assess the dorsalis pedis pulse. The nurse palpates this pulse by placing the fingertips in which location?
Correct Answer: B
Rationale: The correct location to palpate the dorsalis pedis pulse is lateral to and parallel with the extensor tendon of the big toe.
Choices A, C, and D describe the locations for other pulses - popliteal, posterior tibial, and femoral artery respectively. The popliteal pulse is found behind the knee, the posterior tibial pulse is located in the groove between the malleolus and the Achilles tendon, and the femoral artery is situated below the inguinal ligament, halfway between the pubis and the anterior superior iliac spines.
Question 3 of 5
The client has an order for 0.45 mg of Diltiazem. The medication vial has a concentration of 3 mg/mL. How many mL of the drug should be administered?
Correct Answer: A
Rationale:
To calculate the amount of drug to be administered, divide the ordered dose by the concentration of the medication in the vial. In this case, 0.45 mg ÷ 3 mg/mL = 0.15 mL.
Therefore, the correct answer is 0.15 mL.
Choice B (6.6 mL) is incorrect as it does not result from the correct calculation.
Choice C (1.5 mL) is incorrect as it is not the result of dividing the ordered dose by the concentration.
Choice D (0.65 mL) is incorrect as it is not the accurate calculation based on the provided information.
Question 4 of 5
Which of the following are included in the Rights of Medication Administration? Select all that apply.
Correct Answer: B
Rationale: The Rights of Medication Administration include the right client, right drug, right dose, right route, and right time. An additional right that is sometimes included is the right documentation. The correct answer includes the essential rights that must be ensured during medication administration.
Choice A is incorrect as 'right explanation' is not part of the traditional Rights of Medication Administration.
Choice B is incorrect as 'right explanation' is not included, and choice C is missing the right route.
Choice D is incorrect as it lacks the right dose and right route.
Question 5 of 5
At a health screening clinic, a nurse is educating a young woman about breast self-examination (BSE). The nurse determines that the client demonstrates understanding when she makes which statement?
Correct Answer: D
Rationale: The correct answer is 'Monthly BSE includes inspection before a mirror and palpation both in the shower and while lying down.' BSE should be performed monthly after the menstrual period, not every other month or on the day menstruation begins. Performing BSE on the seventh day of the menstrual cycle when the breasts are smallest and least congested is recommended. While BSE is a useful tool for early detection, it is not the only method. Regular physical examinations and mammograms are also important. The correct technique for BSE includes inspecting the breasts in front of a mirror, palpating in the shower for easier detection, and conducting palpation while lying down for thorough examination.