NCLEX-PN
Next Generation Nclex Questions Overview 3.0 ATI Quizlet Questions
Extract:
Question 1 of 5
When administering NSAID adjunctive therapy to an elderly client with cancer, the nurse must monitor:
Correct Answer: A
Rationale: When an elderly client with cancer is receiving NSAID therapy, monitoring BUN (blood urea nitrogen) and creatinine levels is crucial. NSAIDs can cause renal toxicity, especially in the elderly. BUN and creatinine levels help assess renal function and detect early signs of renal impairment. Monitoring creatinine alone (
Choice
B) is not sufficient as BUN provides complementary information about renal function. Monitoring hemoglobin (Hgb) and hematocrit (Hct) (
Choice
C) is important for assessing anemia but not specific to NSAID therapy in the elderly. CFT (
Choice
D) is not a standard abbreviation in this context, and monitoring coagulation function is not directly related to NSAID therapy in this scenario.
Question 2 of 5
Which of the following nursing diagnoses is most appropriate for a client with a new colostomy?
Correct Answer: C
Rationale: Disturbed Body Image is the most appropriate nursing diagnosis for a client with a new colostomy. A new colostomy can significantly impact a person's body image and self-esteem due to the physical changes it brings. This can lead to emotional distress, adjustment issues, and concerns about body image. Excess Fluid Volume, Risk for Aspiration, and Urinary Retention are not directly related to the psychosocial impact of a new colostomy and are therefore not as relevant in this context. While Excess Fluid Volume, Risk for Aspiration, and Urinary Retention are important nursing diagnoses, they are not the priority when considering the psychological and emotional effects of a new colostomy.
Question 3 of 5
At what point in the nurse-client relationship should termination first be addressed?
Correct Answer: C
Rationale: Termination in the nurse-client relationship should first be addressed in the orientation phase. This is because the client has a right to know the parameters of the relationship from the beginning. During the orientation phase, it is important to discuss if the relationship is time-limited, inform the client about the number of sessions, or explain that it is open-ended with the termination date to be negotiated later. Addressing termination in the orientation phase helps establish transparency and clear communication.
Choices A, B, and D are incorrect because termination discussions should ideally start at the beginning of the relationship to set appropriate expectations.
Question 4 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 5 of 5
As part of the teaching plan for a client with type I diabetes mellitus, the nurse should include that carbohydrate needs might increase when:
Correct Answer: D
Rationale: During active exercise, insulin sensitivity increases, leading to lower blood glucose levels.
To balance the effect of increased insulin sensitivity, additional carbohydrates might be needed. The other choices are incorrect because:
A) an infection typically raises blood glucose levels rather than increasing the need for carbohydrates;
B) emotional upset can impact blood glucose but does not directly affect carbohydrate needs;
C) while a large meal can raise blood glucose levels, it does not necessarily mean an increase in carbohydrate needs.