NCLEX Question of The Day

Extract:

Question 1 of 5

What is the number one reason a person with alcohol addiction does not seek treatment?

Correct Answer: B

Rationale: The correct answer is B: Denial. Individuals with alcohol addiction often deny that they have a drinking problem and may become defensive when confronted about it. This sense of denial can be a significant barrier to seeking treatment. Co-dependency, referred to in choice A, is a relationship dynamic and is not the primary reason for avoiding treatment. Depression, as mentioned in choice C, is a common co-occurring condition with alcohol addiction but is not typically the main factor preventing treatment-seeking. Stigma, as in choice D, can act as a deterrent, but denial of the problem itself is usually the primary obstacle to seeking help.

Question 2 of 5

The nurse is preparing for a dressing change on a full thickness burn to the flank area. The orders include irrigating the wound with each dressing change. To irrigate the wound, what will the nurse use?

A. Sterile saline B. Distilled water C. Betadine scrub D. Tap water

Correct Answer: A

Rationale: When irrigating a wound, especially in the case of a full-thickness burn, it is crucial to use a solution that is gentle and non-irritating to the tissues. Sterile saline is the preferred choice for wound irrigation as it is isotonic and does not cause additional damage to the already compromised tissue. Distilled water lacks the electrolytes present in saline, Betadine scrub is not used for irrigation due to its potential to be cytotoxic, and tap water may introduce contaminants and microorganisms to the wound.

Question 3 of 5

After a client has a tubal ligation in the outpatient surgical clinic, what is the priority for the nurse to determine?

A. The client's prior experiences with outpatient surgery B. The client's medical plan and the extent of coverage for outpatient surgery C. The client's plan for transportation and care at home D. The client's plan to spend the night at the surgical center

Correct Answer: C

Rationale: The priority for the nurse is to ensure the client has a safe way to get home and adequate care after discharge. It is crucial to determine the client's transportation arrangements and availability of care at home to ensure a smooth transition postoperatively. Options A and B, though important, are not immediate priorities compared to the client's safety and well-being after the procedure. Option D is incorrect as spending the night at the surgical center is not typically part of the plan for outpatient surgery.

Question 4 of 5

A client with sleep apnea has been ordered a CPAP machine. Which action could the RN delegate to a nursing assistant?

A. Reminding the client to apply the CPAP at bedtime B. Obtaining every three-hour oxygen saturation levels C. Teaching the client how to turn on the CPAP machine D. Assessing for fatigue or depression caused by poor sleep

Correct Answer: A

Rationale: The correct answer is reminding the client to apply the CPAP at bedtime. This task can be safely delegated to a nursing assistant as it involves a simple and routine reminder. Option B, obtaining oxygen saturation levels, requires a higher level of training and interpretation of results, making it more appropriate for an RN. Option C, teaching the client how to turn on the CPAP machine, involves educating the client and ensuring proper use of medical equipment, which is within the RN's scope of practice. Option D, assessing for fatigue or depression, requires a comprehensive evaluation that involves interpreting symptoms and identifying underlying causes, making it more suitable for an RN to address.

Question 5 of 5

The client is preparing to undergo a total hysterectomy for advanced cervical cancer. The client is crying and says that she wants to have more children and is unsure if she should have the procedure. What should the nurse do?

A. Allow the client to honestly discuss her fears and encourage her to talk more with her physician. B. Tell her the good things that she will be able to do without more children and encourage her to make a list of positive things. C. Explain to the client that her ovaries can be frozen for egg harvesting at a later time and she can find a surrogate. D. Advise the client to put off having the surgery until she is sure that she wants to undergo the procedure and notify the surgeon of the decision.

Correct Answer: A

Rationale: In this situation, the most appropriate action for the nurse is to allow the client to express her fears and concerns openly. By encouraging her to talk more with her physician, the nurse is promoting effective communication and ensuring that the client receives adequate information to make an informed decision. Option A is correct because it acknowledges the client's emotions and empowers her to seek clarification and support from her healthcare provider. Options B and C do not address the client's emotional needs or provide a solution to her concerns regarding fertility. Option D is not appropriate as it does not prioritize the client's emotional well-being and delays necessary medical treatment for advanced cervical cancer.

NCLEX Question of The Day - Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN