NCLEX-PN
Nclex Practice Questions 2024 Questions
Extract:
Question 1 of 5
The difference between spirituality and religion is that spirituality is:
Correct Answer: B
Rationale: The correct answer is 'an individual's relationship with a higher power.' Spirituality is more about personal connection, beliefs, and experiences related to a higher power or force, whereas religion is often associated with organized practices, rituals, and doctrines within a specific faith community.
Choice A is incorrect as spirituality goes beyond just believing in a higher power; it encompasses a personal connection.
Choice C, 'organized worship,' is incorrect because spirituality can exist outside formal religious settings.
Choice D is incorrect as it oversimplifies spirituality as merely a belief in an invisible energy or ideal, missing the relational aspect with a higher power.
Question 2 of 5
The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal pH 7.36, CO2 45, O2 84, HCO3 28. The nurse would assess the client to be in:
Correct Answer: C
Rationale: The client is experiencing compensated respiratory acidosis. The pH is within the normal range but is lower than 7.40, indicating acidity. The elevated CO2 level and low O2 level suggest respiratory involvement. The slightly elevated HCO3 level indicates a compensatory mechanism. In respiratory acidosis, the pH will be inversely related to the CO2 and bicarb levels, with elevated CO2 and HCO3 levels contributing to acidosis.
Choices A, B, and D are incorrect because they do not align with the presented blood gas values and the compensatory response observed in this case.
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 client with cirrhosis of the liver is receiving Lactulose. The nurse is aware that the rationale for the order for Lactulose is:
Correct Answer: C
Rationale: Lactulose is administered to the client with cirrhosis to lower ammonia levels, as it works by acidifying the colon, trapping ammonia for elimination in the stool.
Choices A, B, and D are incorrect because Lactulose does not have an effect on blood glucose, uric acid, or creatinine levels.
Therefore, the correct answer is to lower the ammonia level.
Question 5 of 5
The licensed practical nurse assigned to the postpartum unit is preparing to administer Rhogam to a postpartum client. Which woman is not a candidate for RhoGam?
Correct Answer: D
Rationale: The mothers in answers A, B, and C all require RhoGam as they are Rh negative with an Rh-positive baby or have experienced a stillbirth delivery, making them candidates for RhoGam injection. The mother in answer D is the only one who does not require Rhogam because she is Rh negative with an Rh-negative baby, eliminating the need for RhoGam administration.