NCLEX-PN
NCLEX PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
When inspecting the client's eyelids for ptosis, the nurse is checking for which abnormality?
Correct Answer: A
Rationale: When a nurse inspects a client's eyelids for ptosis, they are checking for drooping. Ptosis is a condition characterized by the drooping of the eyelids and can be associated with various disorders such as myasthenia gravis, dysfunction of cranial nerve III, and Bell's palsy. Pupil dilation and constriction are assessed using a flashlight to check pupillary response. Deviation of ocular movements is evaluated by leading the client's eyes through the six cardinal positions of gaze.
Therefore, in this scenario, the correct answer is 'Drooping' as it specifically relates to the abnormality associated with ptosis.
Question 2 of 5
What is the primary focus of a case manager?
Correct Answer: B
Rationale: The correct answer is 'Managing the comprehensive care needs of the client for continuity of care.' Case managers oversee all aspects of a client's care to ensure continuity throughout their healthcare journey.
Choice A is incorrect as it focuses only on nursing care needs at discharge, which is just a part of the overall care needed.
Choice C narrows down the focus to client education needs, excluding other essential care components.
Choice D solely considers financial resources, neglecting the broader scope of care needs that a case manager is accountable for.
Question 3 of 5
Which of the following foods should be avoided by clients who are prone to developing heartburn as a result of gastroesophageal reflux disease (GERD)?
Correct Answer: C
Rationale: The correct answer is chocolate. Ingestion of chocolate can reduce lower esophageal sphincter (LES) pressure, leading to reflux and clinical symptoms of GERD. Lettuce, eggs, and butterscotch do not affect LES pressure and are less likely to trigger heartburn in individuals with GERD.
Therefore, clients who are prone to developing heartburn due to GERD should avoid consuming chocolate to manage their symptoms effectively.
Question 4 of 5
Health promotion activities are designed to help clients:
Correct Answer: D
Rationale: Health promotion activities encompass a broad range of interventions aimed at enhancing overall well-being. These activities not only focus on reducing the risk of illness but also on maintaining maximal function and promoting healthy habits related to healthcare.
Therefore, the correct answer is 'all of the above.'
Choices A, B, and C are all integral components of health promotion strategies, emphasizing the multidimensional approach required to support clients in achieving optimal health outcomes.
Question 5 of 5
The nurse is teaching parents of a newborn about feeding their infant. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is to use the defrost setting on microwave ovens to warm bottles. It is crucial to be cautious when heating bottles in a microwave to prevent milk from becoming superheated. The defrost setting is recommended, and the formula's temperature should always be checked before feeding the baby.
Choice B, which advises to discard partially used bottles of refrigerated formula after 24 hours, is also correct. This is important to prevent the introduction of pathogens by the baby into the formula.
Choice C, recommending mixing one part formula concentrate with two parts water, is essential for ensuring the correct dilution.
Choice D, suggesting to discard any remaining portion of a bottle for the next feeding, is incorrect. It is not necessary to discard the remaining portion if it has been refrigerated promptly and used within a safe time frame. Adding fresh formula to a partially used bottle is not recommended, as it can lead to the growth of pathogens that may be transferred to the new formula.