NCLEX-PN
Health Promotion and Maintenance NCLEX PN Questions Questions
Extract:
Question 1 of 5
The LPN is caring for a client admitted for acute pancreatitis. Which of these medications would be the least appropriate for pain management?
Correct Answer: D
Rationale: Morphine is the least appropriate choice for pain management in pancreatitis due to its potential to cause spasms in the Sphincter of Oddi, which can worsen the client's condition by potentially obstructing the pancreatic duct. Tylenol, Tramadol, and Codeine are more suitable options for pain management in acute pancreatitis as they do not carry the same risk of exacerbating the condition by causing spasms in the Sphincter of Oddi.
Question 2 of 5
Light therapy can be effective for:
Correct Answer: D
Rationale: Light therapy can be effective in treating problems associated with sleep patterns, stress, moods, jaundice in newborns, and seasonal affective disorders.
Question 3 of 5
Which reported symptom(s) would indicate a client with Addison's disease has received too much fludrocortisone (Florinef) replacement?
Correct Answer: B
Rationale: Fludrocortisone replacement in Addison's disease involves mimicking the action of aldosterone, a mineralocorticoid that causes the retention of sodium and water. Excessive retention of sodium and water can lead to weight gain.
Therefore, a sudden increase in weight, especially a significant amount like 6 pounds in one week, can indicate an overdose of fludrocortisone.
Choices A, C, and D are incorrect because oily skin and hair, loss of muscle mass, and increased blood glucose levels are not typically associated with excessive fludrocortisone replacement.
Question 4 of 5
A pregnant client asks how she can prevent getting Group B Strep. What is the LPN's best response?
Correct Answer: A
Rationale: The best response for the LPN to provide to a pregnant client concerned about preventing Group B Strep is that it cannot be prevented, only treated. Group B Strep is a normal flora found in the vagina, rectum, and intestines of about 25% of women and is not a sexually transmitted disease. Testing for Group B Strep is done in each pregnancy, usually around 35-37 weeks. If a woman tests positive, antibiotics are administered during labor to reduce the risk of complications for both the mother and the baby.
Choice A is the correct answer as Group B Strep cannot be prevented but only treated.
Choice B is incorrect; condom use does not prevent Group B Strep.
Choice C is not the best response as hand-washing is important for general hygiene but does not specifically prevent Group B Strep.
Choice D is incorrect as there is no vaccine available to prevent Group B Strep.
Question 5 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.