NCLEX-PN
Nclex Practice Questions 2024 Questions
Extract:
Question 1 of 5
The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept available during the test?
Correct Answer: A
Rationale: During a Tensilon test to check for Myasthenia Gravis, Atropine sulfate should be kept available as it is the antidote for Tensilon and is administered to manage cholinergic crises that may occur during the test. Atropine sulfate helps counteract the excessive stimulation of the parasympathetic nervous system caused by Tensilon. Furosemide (choice
B) is a diuretic and not related to managing Tensilon-induced crises. Prostigmin (choice
C) is used to treat Myasthenia Gravis itself, not for managing the effects of Tensilon. Promethazine (choice
D) is an antiemetic and antianxiety agent, which is not necessary for a Tensilon test.
Therefore, Atropine sulfate (choice
A) is the correct medication to have available during a Tensilon test, making choices B, C, and D incorrect in this context.
Question 2 of 5
A 6-month-old client is admitted with possible intussusception. Which question during the nursing history is least helpful in obtaining information regarding this diagnosis?
Correct Answer: C
Rationale: The least helpful question in obtaining information regarding intussusception is "Describe his usual diet."? This question is least relevant to the specific symptoms and presentation of intussusception.
Choices A, B, and D are more directly related to symptoms commonly associated with intussusception and can provide important diagnostic clues. Asking about pain, vomit appearance, and changes in abdominal size can help in assessing the severity and progression of the condition, making them more crucial questions to ask in this scenario. Pain is a cardinal symptom of intussusception, changes in vomit appearance may indicate gastrointestinal issues, and alterations in abdominal size can signify the presence of a mass or obstruction, all of which are pertinent in diagnosing and managing intussusception.
Question 3 of 5
The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept available during the test?
Correct Answer: A
Rationale: During a Tensilon test to check for Myasthenia Gravis, Atropine sulfate should be kept available as it is the antidote for Tensilon and is administered to manage cholinergic crises that may occur during the test. Atropine sulfate helps counteract the excessive stimulation of the parasympathetic nervous system caused by Tensilon. Furosemide (choice
B) is a diuretic and not related to managing Tensilon-induced crises. Prostigmin (choice
C) is used to treat Myasthenia Gravis itself, not for managing the effects of Tensilon. Promethazine (choice
D) is an antiemetic and antianxiety agent, which is not necessary for a Tensilon test.
Therefore, Atropine sulfate (choice
A) is the correct medication to have available during a Tensilon test, making choices B, C, and D incorrect in this context.
Question 4 of 5
The physician has ordered a culture for the client with suspected gonorrhea. The nurse should obtain which type of culture?
Correct Answer: D
Rationale: A culture for gonorrhea is taken from the genital secretions as gonorrhea primarily affects the genital area. The culture is incubated in a warm environment to promote the growth of Neisseria gonorrhoeae, the bacterium causing gonorrhea. Genital secretions provide a direct sample from the site of infection, increasing the accuracy of diagnosis.
Choices A, B, and C are incorrect as they are not suitable specimens for diagnosing gonorrhea. Blood cultures are used to detect bloodstream infections, nasopharyngeal secretions are collected for respiratory infections, and stool cultures are done to identify gastrointestinal infections, none of which are related to gonorrhea.
Question 5 of 5
A new nursing graduate indicates in charting entries that he is a licensed practical nurse, although he has not yet received the results of the licensing exam. The graduate's action can result in what type of charge?
Correct Answer: A
Rationale: The correct answer is 'Fraud.' Identifying oneself as a nurse without a license defrauds the public and can lead to prosecution. A tort is a wrongful act in breach of a legal duty imposed by law; malpractice is the failure to act appropriately as a nurse or acting in a way that harm comes to the client; and negligence is failing to perform care. In this scenario, the key issue is the misrepresentation of licensure status, which constitutes fraud.
Therefore, choices B, C, and D are incorrect.