NCLEX-PN
NCLEX PN 2023 Quizlet Questions
Extract:
Question 1 of 5
When treating anemia in clients with renal failure, erythropoietin should be given in conjunction with:
Correct Answer: A
Rationale: Erythropoietin is used to stimulate red blood cell production in clients with renal failure.
To effectively increase red blood cell production, adequate levels of iron, folic acid, and B12 are necessary. These nutrients play crucial roles in erythropoiesis.
Choices B, an increase in protein in the diet, is not directly related to enhanced erythropoiesis and can potentially worsen uremia.
Choices C and D, vitamins A and C, and an increase in calcium in the diet, are not directly involved in red blood cell production and are not essential in this context.
Question 2 of 5
Teaching about the need to avoid foods high in potassium is most important for which client?
Correct Answer: D
Rationale: Clients with renal disease are predisposed to hyperkalemia and should avoid foods high in potassium. High potassium levels can further burden the kidneys and worsen the condition.
Choices A, B, and C are incorrect because clients receiving diuretic therapy, with an ileostomy, or with metabolic alkalosis are at risk for hypokalemia, which is low potassium levels.
Therefore, these clients should actually be encouraged to eat foods high in potassium to maintain adequate levels and prevent complications associated with hypokalemia.
Question 3 of 5
Which of the following organs of the digestive system has a primary function of absorption?
Correct Answer: C
Rationale: The small intestine is the correct answer. It is the primary organ responsible for absorption in the digestive system. The stomach's primary function is to break down food through mechanical and chemical digestion. The pancreas produces digestive enzymes to aid in the breakdown of food. The gallbladder stores bile produced by the liver, which helps in the digestion of fats. However, neither the stomach, pancreas, nor gallbladder play the primary role of absorption in the digestive process, making them incorrect choices.
Question 4 of 5
What advice should be given to a client with stress incontinence?
Correct Answer: A
Rationale: For stress incontinence, advising the client to consider trying Kegel exercises is appropriate. Kegel exercises involve tightening and releasing the pelvic floor muscles, which can improve stress incontinence by strengthening the muscles that control urination.
Choice B suggesting immediate surgery is incorrect as surgery is usually considered after conservative treatments like Kegel exercises have been tried.
Choice C advising to avoid all forms of treatment is dangerous and neglectful.
Choice D recommending to ignore the issue is inappropriate as it can impact the client's quality of life and may worsen over time without intervention.
Question 5 of 5
When a client informs the nurse that he is experiencing hypoglycemia, the nurse provides immediate intervention by providing:
Correct Answer: D
Rationale: The correct immediate intervention for hypoglycemia is to provide 10-15 grams of fast-acting simple carbohydrates orally if the client is conscious and able to swallow. This can be achieved by giving 2-3 teaspoons of honey. Honey is a quick source of simple sugars that can rapidly raise blood glucose levels. Commercially prepared glucose tablets or 4-6 ounces of fruit juice are also appropriate options. However, adding sugar to fruit juice is unnecessary as the natural fruit sugar in juice already provides enough simple carbohydrates to raise blood glucose levels. Hard candies are not the best choice for immediate intervention in hypoglycemia as they may not provide a sufficient amount of fast-acting carbohydrates needed to raise blood sugar levels quickly.