NCLEX-PN
2024 Nclex Questions Questions
Extract:
Question 1 of 5
Which information obtained from the mother of a child with cerebral palsy most likely correlates to the diagnosis?
Correct Answer: B
Rationale: The diagnosis of meningitis at age 6 months correlates to a diagnosis of cerebral palsy. Cerebral palsy, a neurological disorder, is often associated with birth trauma or infections of the brain or spinal column. Answers A, C, and D are not related to the question. Gestational length (choice
A) is not a direct risk factor for cerebral palsy. Physiologic jaundice (choice
C) and frequent sore throats (choice
D) are not typically associated with cerebral palsy.
Question 2 of 5
A 20-year-old female has a prescription for tetracycline. While teaching the client how to take her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive pills. Which instructions should be included in the teaching plan?
Correct Answer: D
Rationale: When antibiotics and oral contraceptives are taken together, the effectiveness of the oral contraceptives can be reduced, increasing the risk of pregnancy.
Therefore, it is important to advise the client to use an alternate method of birth control to prevent unintended pregnancy.
Choices A, B, and C are incorrect because there is no evidence to suggest that oral contraceptives decrease the effectiveness of tetracycline, cause nausea, or result in toxicity when taken with antibiotics.
Question 3 of 5
Some drugs are excreted into bile and delivered to the intestines. Prior to elimination from the body, the drug might be absorbed. This process is known as:
Correct Answer: C
Rationale: The correct answer is 'enterohepatic cycling.' This process involves drugs being excreted into bile, delivered to the intestines, reabsorbed into the circulation, and can prolong the drug's presence in the body. 'Hepatic clearance' (
Choice
A) refers to the amount of drug eliminated by the liver. '
Total clearance' (
Choice
B) is the sum of all types of clearance including renal, hepatic, and respiratory. 'First-pass effect' (
Choice
D) is the amount of drug absorbed from the GI tract and metabolized by the liver before entering circulation, reducing the amount of drug available for systemic circulation.
Question 4 of 5
The mother of a newborn child is very upset. The child has a cleft lip and palate. The type of crisis this mother is experiencing is:
Correct Answer: C
Rationale: The mother is experiencing a situational crisis as the unexpected birth of a child with a cleft lip and palate has placed her in a challenging situation she did not anticipate. This type of crisis is triggered by specific events and circumstances.
Choice A, reactive, implies responding to a stressor after it has occurred, which is not the case here.
Choice B, maturational, refers to stress related to developmental stages, not to external events like the child's condition.
Choice D, adventitious, involves crises resulting from events outside one's control, such as natural disasters, which do not apply in this scenario.
Question 5 of 5
What is the purpose of a contract between a nurse and a client?
Correct Answer: A
Rationale: The purpose of a contract between a nurse and a client is to specify the participation and responsibilities of both parties. It outlines the expectations, contributions, and duties of each party involved in the professional relationship. This ensures clarity and mutual understanding.
Choice B is incorrect as contracts do not indicate feeling tone but rather focus on the professional aspects.
Choice C is incorrect because while contracts are legally binding, their primary purpose is not to prevent premature termination but to establish guidelines.
Choice D is incorrect as contracts focus more on responsibilities and participation rather than specific roles.