NCLEX-PN
2024 Nclex Questions Questions
Extract:
Question 1 of 5
Referral for client education in the community can be accomplished through all of the following except:
Correct Answer: D
Rationale: Client education should be conducted by individuals with acknowledged expertise in the subject area and appropriate credentials to support their activities within the healthcare community.
Choices A, B, and C involve reputable entities or professionals who can provide accurate and reliable client education. The American Heart Association, parish nurses, and home health care agencies are recognized for their healthcare-related knowledge and qualifications. However, unlicensed massage therapists lack the necessary qualifications and expertise to deliver appropriate healthcare-related education, making them unsuitable for referrals when it comes to client education in the community.
Question 2 of 5
A 5-year-old is admitted to the unit following a tonsillectomy. Which of the following would indicate a complication of the surgery?
Correct Answer: D
Rationale: A complication of a tonsillectomy is bleeding, and constant swallowing may indicate bleeding. Decreased appetite is expected after a tonsillectomy, as is a low-grade fever; thus, answers A and B are incorrect. Chest congestion, as mentioned in answer C, is not typical of tonsillectomy complications, making it an incorrect choice.
Question 3 of 5
A complication of total parenteral nutrition (TPN) is the development of cholestasis. What is this condition?
Correct Answer: B
Rationale: Cholestasis due to TPN administration is an intrahepatic process that interrupts the normal flow of bile. It is characterized by a reduction or stoppage of bile flow.
Choice A, an inflammatory process of the extrahepatic bile ducts, refers to cholangitis, not cholestasis.
Choice C, an inflammation of the gallbladder, describes cholecystitis, a different condition.
Choice D, the formation of gallstones, is not correct as cholestasis is about the flow of bile, not the formation of gallstones.
Question 4 of 5
A mother has just given birth to a baby who died soon after. The mother has been crying and states, "I can't believe this has happened to me. I did everything right during this pregnancy."? How should the nurse respond to this mother?
Correct Answer: D
Rationale: Perinatal loss is a significant tragedy for parents, and it is crucial to provide sensitive and compassionate care. When a mother expresses her disbelief and feelings of doing everything right during the pregnancy, it is important for the nurse to acknowledge her pain and allow her to grieve in her way. Telling her that she did nothing wrong and it was God's will (
Choice
A) may not be comforting and can come across as dismissive of her feelings. Suggesting she can have another baby (
Choice
B) is insensitive and overlooks the grief she is experiencing for the current loss. Telling her that her behavior is not going to solve anything (
Choice
C) is invalidating her emotions and not supportive in this situation.
Therefore, the best approach is to support her in her mourning process by respecting her feelings and allowing her to express her grief as she sees fit.
Question 5 of 5
A 50-milliliter (ml) bolus of normal saline fluid is ordered by the physician. The physician wants it to infuse in 30 minutes. The nurse should set the pump rate at:
Correct Answer: A
Rationale:
To infuse a 50 ml bolus in 30 minutes, the rate should be calculated as follows: 50 ml / 30 min = 100 ml per hour.
Therefore, the correct answer is to set the pump rate at 100 ml per hour for one hour.
Choice A is the correct rate based on the calculation.
Choices B, C, and D all provide incorrect rates that do not match the physician's order.
Choice B would only deliver 30 ml in 30 minutes, not the ordered 50 ml.
Choice C would deliver 120 ml in one hour, which is 20 ml more than ordered.
Choice D would only provide 25 ml over 30 minutes, not the full 50 ml prescribed.