Best NCLEX Next Gen Prep

Extract:

Question 1 of 5

When assisting the physician in performing transillumination of a client's scrotum, how should the nurse prepare for this procedure?

Correct Answer: A

Rationale: When preparing for transillumination of the scrotum, the nurse should obtain a flashlight and darken the room. This is done to allow the strong flashlight to be shined from behind the scrotal contents. Normal scrotal contents do not appear on transillumination. Instructing the client to drink fluids or to take deep breaths and bear down is not part of the preparation for this procedure. Additionally, it is not necessary to inform the client that the procedure is uncomfortable as transillumination is a painless procedure.

Question 2 of 5

When a client who is 25 years of age asks the nurse when she should seek fertility counseling, the best response by the nurse is:

A. "Fertility counseling should be sought when you have been unable to conceive after 1 year of unprotected intercourse."? B. "Fertility counseling should be sought when you have not been able to conceive after 6-9 months of unprotected intercourse."? C. "The average time it takes someone your age to conceive is 5.3 months, so if you haven't conceived by then, we can refer you."? D. "We can give you some guidance now on how to increase your chances of conceiving and then refer you if it doesn't happen within a year."?

Correct Answer: D

Rationale: The best response in this scenario is to offer immediate guidance while also indicating when fertility counseling should be sought. While
Choice A is technically correct as guidelines recommend seeking fertility counseling after 1 year of unprotected intercourse, it lacks providing immediate guidance.
Choice B suggests seeking counseling after 6-9 months, which is earlier than the standard recommendation of 1 year.
Choice C mentions the average time to conceive for someone of the client's age without addressing the client's current concern.
Therefore,
Choice D is the most appropriate response as it offers immediate guidance along with a plan for referral if needed.

Question 3 of 5

A client with an ileus is placed on intestinal tube suction. Which of the following electrolytes is lost with intestinal suction?

A. calcium B. magnesium C. potassium D. sodium chloride

Correct Answer: D

Rationale: The correct answer is sodium chloride. Duodenal intestinal fluid is rich in potassium (K+), sodium (Na+), and bicarbonate. When suctioning is used to remove excess fluids due to ileus, it results in the loss of sodium chloride (NaCl) leading to decreased sodium (Na+) levels.

Choices A, B, and C are incorrect because calcium, magnesium, and potassium are not typically lost in significant amounts through intestinal tube suction in the context of treating ileus.

Question 4 of 5

What ethical obligations do professional nurses have according to the ANA Code of Ethics for Nurses?

A. patients. B. the nursing profession. C. provide high-quality care. D. all of the above

Correct Answer: D

Rationale: The correct answer is 'all of the above.' According to the ANA Code of Ethics for Nurses, professional nurses have ethical obligations to patients (clients), the nursing profession, and providing high-quality care. These elements are fundamental principles outlined in the code of ethics to guide nurses in their practice.
Choice A is correct as nurses prioritize the well-being and care of their patients.
Choice B is correct as nurses are expected to uphold the values and integrity of the nursing profession.
Choice C is correct as providing high-quality care is a core ethical obligation of nurses.
Therefore, all the choices align with the ANA Code of Ethics for Nurses.

Question 5 of 5

An LPN is reviewing medication lists for several clients recently admitted to the hospital. Which of the following scenarios would be least concerning?

A. A client taking allopurinol for gout states they have been taking black cohosh to help with post-menopausal symptoms. B. A client has an order for warfarin and states they have been taking Ginkgo biloba to improve their memory. C. A client taking Lipitor states they have been taking ginseng for an energy boost. D. A client has a prescription for an SSRI and states they have been taking St. John's wort to also help with their depression.

Correct Answer: C

Rationale: The least concerning scenario is when a client taking Lipitor states they have been taking ginseng for an energy boost. While ginseng may cause an increased risk of bleeding, it should not interact with Lipitor. On the other hand, St. John's wort should not be taken with an SSRI as it may cause serotonin syndrome, posing a more serious concern. Black cohosh should not be taken with allopurinol as they can both cause hepatotoxicity, especially in combination. Ginkgo biloba should not be taken with warfarin as it causes an increased risk of bleeding, making it a more concerning scenario compared to the client taking Lipitor and ginseng.

Best NCLEX Next Gen Prep - Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN