NCLEX-PN
Next Generation Nclex Questions Overview 3.0 ATI Quizlet Questions
Extract:
Question 1 of 5
The healthcare provider sustains a needle puncture that requires HIV prophylaxis. Which of the following medication regimens should be used?
Correct Answer: B
Rationale: In the scenario of a needle puncture requiring HIV prophylaxis, the CDC recommends initiating treatment with two non-nucleoside reverse transcriptase inhibitors, unless there is drug resistance. This regimen is preferred over other options such as a single protease inhibitor or two protease inhibitors due to its effectiveness and safety profile in this specific context. Non-nucleoside reverse transcriptase inhibitors are commonly used in post-exposure prophylaxis due to their activity against HIV and lower risk of resistance development compared to other antiretroviral drug classes.
Question 2 of 5
What can happen if a restraint is attached to a side rail or other movable part of the bed?
Correct Answer: B
Rationale: Attaching a restraint to a movable part of the bed can lead to client injury if that part of the bed is moved before releasing restraints. This could result in the client getting caught or trapped, possibly causing harm.
Choices C and D are incorrect because attaching restraints to movable parts of the bed is not intended to help the client stay in bed or improve posture; rather, it poses a risk of injury.
Choice A is incorrect as it does not address the potential harm associated with using restraints on movable parts of the bed.
Question 3 of 5
Ethical and moral issues concerning restraints include all of the following except:
Correct Answer: D
Rationale: The correct answer is 'policies and procedures.' While policies and procedures are essential for managing restraints, they are not in themselves ethical or moral issues. The emotional impact on the client and family, the dignity of the client, and the client's quality of life are all ethical and moral concerns related to the use of restraints. These aspects focus on the well-being, respect, and rights of the individual, which are fundamental ethical considerations in healthcare practice.
Choices A, B, and C are directly tied to ethical and moral considerations by highlighting the impact on individuals involved and their overall quality of life and dignity, making them key factors to address in ethical decision-making.
Question 4 of 5
A client is told that his test is positive, but in fact, the client does not have the disease tested for. Which type of false report is this an example of?
Correct Answer: B
Rationale: The correct answer is 'false positive.' A false-positive result occurs when a test result is labeled positive in error, when the actual result is negative. In this scenario, the client received a positive test result incorrectly, as he does not have the disease being tested for.
Choice A ('positive') is too vague and does not specify that the result was incorrect.
Choice C ('negative') is the opposite of what happened in the scenario.
Choice D ('false negative') refers to a situation where a test result is labeled negative incorrectly, which is not the case in this scenario.
Question 5 of 5
Which isolation procedure will be followed for secretions and blood?
Correct Answer: B
Rationale: The correct answer is Standard Precautions. Standard precautions are taken in all situations for all clients and involve all body secretions except sweat. They are designed to reduce the rate of transmission of microbes from one host to another or one source to another. Respiratory Isolation (
Choice
A) is used for diseases transmitted by airborne particles, not secretions and blood. Contact Isolation (
Choice
C) is for clients known or suspected to be infected with microorganisms that can be transmitted by direct or indirect contact. Droplet Isolation (
Choice
D) is used for diseases transmitted by large respiratory droplets expelled during coughing, sneezing, talking, or procedures.