NCLEX-PN
Health Promotion and Maintenance NCLEX PN Questions Questions
Extract:
Question 1 of 5
The LPN is taking care of a 176-pound client who has recently been diagnosed with diabetes. The primary healthcare provider has written an order for Lantus® (insulin glargine injection) 100 units/mL, using weight-based dosing of 0.2 units/kg per day. The LPN should prepare ____ units for administration.
Correct Answer: B
Rationale:
To calculate the correct dosage, first convert the client's weight from pounds to kilograms. As 1 kg = 2.2 pounds, 176 pounds ÷ 2.2 = 80 kg. The client should receive 0.2 units for every kilogram, which equals 16 units.
Therefore, the total amount to prepare is 16 units x 100 units/mL = 1600 units. Considering the medication concentration of 100 units/mL, 1600 units ÷ 100 units/mL = 16 mL. However, since the question asks for the number of units, the final answer is 16 units x 2 injections = 32 units.
Therefore, the LPN should prepare 32 units for administration.
Question 2 of 5
A mother brings her 1-year-old child to the clinic. The child has no record of previous immunizations, and the mother confirms the child has not been immunized. Teaching by the nurse should include which of the following?
Correct Answer: A
Rationale: The correct answer is 'Immunizations may be started at any age.' While there is a recommended immunization schedule, immunizations can be initiated at any age. It is essential to emphasize the flexibility in starting immunizations. The statement 'The recommended immunization schedule should be followed' is too rigid; while recommended, there is flexibility in initiation.
Choice C is correct as an interrupted series can be continued without restarting. The statement 'Delaying the start of vaccines does not increase the risk of reaction' is correct. Delaying does not increase the risk of reaction; in fact, it is important to start immunizations to protect the child and the community.
Question 3 of 5
A nurse is reviewing a patient's current Lithium levels. Which of the following values is outside the therapeutic range?
Correct Answer: D
Rationale: 1.0-1.2 mEq/L is considered standard therapeutic range for patient care.
Question 4 of 5
Kleinman's Explanatory Model of Health and Illness is significant because:
Correct Answer: C
Rationale: The anthropologist Kleinman makes a distinction between disease and illness. Disease is the health care professionals' biomedical understanding of the health problem, while illness is the client's personal and unique understanding and definition of what is happening to him. The theorist states that cultural factors determine the importance of the various domains of influence.
Question 5 of 5
A nurse working in a pediatric clinic and observes the following situations. Which of the following may indicate a delayed child to the nurse?
Correct Answer: A
Rationale: At 12 months a child should at least be 'cruising' (holding on to objects to walk).