NCLEX-PN
2024 PN NCLEX Questions Questions
Extract:
Question 1 of 5
What effect can medication bound to protein have?
Correct Answer: C
Rationale: Medication bound to protein leads to less availability to produce desired medicinal effects because only unbound drugs can interact with active receptor sites. If a drug is bound to protein, it cannot bind with a receptor site, reducing its effectiveness.
Choice A is incorrect because binding to protein reduces drug availability.
Choice B is incorrect because distribution to receptor sites is ineffective if the drug is bound to protein.
Choice D is incorrect because metabolism does not occur until the drug is removed from the protein molecule by the liver, allowing the protein to return to circulation.
Question 2 of 5
What is one of the main goals of Healthy People 2010?
Correct Answer: C
Rationale: The main goal of Healthy People 2010 is the elimination of health disparities among the U.S. population. This initiative outlines specific objectives to improve the overall health of Americans by addressing disparities in health outcomes.
Choice A, reduction of health care costs, is not the primary goal of Healthy People 2010, although it may be a beneficial outcome.
Choice C, investigation of substance abuse, is not a main goal of Healthy People 2010; while substance abuse may be a factor in health disparities, the primary focus is on broader disparities.
Choice D, determination of an acceptable morbidity rate, is not the main focus of Healthy People 2010; instead, it aims to address health disparities in different population groups.
Question 3 of 5
A sexually active married couple, discussing birth control methods with the nurse, expresses the need for a method that is convenient. Because the couple has told the nurse that family-planning goals have been met, which method of birth control does the nurse suggest?
Correct Answer: B
Rationale: In this scenario, since the couple has indicated that their family-planning goals have been met, a permanent method of contraception like sterilization would be most suitable. Sterilization offers long-term effectiveness and convenience once the decision to stop having children is made. Options like the diaphragm, male condom, or spermicide are more suitable for temporary contraception or when the family-planning goals have not yet been achieved.
Therefore, the correct answer is sterilization, as it aligns with the couple's need for a convenient and permanent birth control method.
Question 4 of 5
What causes an older female client's hair to turn gray?
Correct Answer: A
Rationale: The correct answer is 'A loss of melanin occurs in the normal aging process.' Graying hair in older adults is primarily due to a decrease in the number of melanocytes responsible for providing pigment and hair color. This reduction in melanin production leads to gray hair. The other choices are incorrect. While it is true that the skin becomes thinner with aging and the number of sweat glands and blood vessels decreases, these changes are not directly related to graying hair. Additionally, hereditary factors can influence when graying starts, but they do not cause the graying of hair itself.
Question 5 of 5
When an elder client asks the nurse whether he will be capable of sexual activity in old age, the best response by the nurse is:
Correct Answer: A
Rationale: The best response for the nurse when an elder client asks about capability for sexual activity in old age is to provide reassurance and open communication.
Choice A is the correct answer as it acknowledges that elder adults can engage in sexual activity both physically and psychologically despite age-related changes. This response encourages further discussion and addresses the client's concerns.
Choices B, C, and D contain some truths but are not the most therapeutic responses.
Choice B implies that past sexual activity is a prerequisite for sexual activity in old age, which is not entirely accurate as intimacy can be experienced in various ways.
Choice C, while true about alternative ways to meet sexual needs, does not directly address the client's question about sexual activity.
Choice D focuses on the physiological aspect of sexual function, which is important but not the most appropriate initial response to the client's query.