NCLEX-PN
2024 Nclex Questions Questions
Extract:
Question 1 of 5
Which of the following attitudes is essential in a nurse who assists clients during crises?
Correct Answer: A
Rationale: Viewing crisis intervention as the first step in solving bigger problems is essential in a nurse who assists clients during crises. This approach focuses on addressing the immediate crisis first, which can potentially prevent the escalation of bigger problems. Wanting to help clients solve all problems identified (
Choice
B) may not be feasible or necessary during a crisis situation where immediate intervention is crucial. Taking an active role in guiding the process (
Choice
C) is important, but the primary focus should be on crisis intervention. Feeling that work requires identification with all of a client's problems (
Choice
D) may lead to a lack of focus on the immediate crisis at hand.
Question 2 of 5
A twenty-one-year-old man suffered a concussion, and the MD ordered an MRI. The patient asks, 'Will they allow me to sit up during the MRI?' The correct response by the nurse should be:
Correct Answer: D
Rationale: The correct answer is to inform the patient that they will have to lie down on their back during the MRI. This positioning is necessary for the scan to obtain accurate images of the brain.
Choice A is incorrect because the decision on the positioning during the MRI is typically determined by the imaging protocol and not subject to negotiation during the test.
Choice B is incorrect as the reverse Trendelenburg position is not commonly used during MRI scans.
Choice C is incorrect because the radiologist does not usually make decisions on patient positioning during the MRI; it is predetermined by the imaging requirements.
Question 3 of 5
The client is diagnosed with multiple myeloma. The doctor has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the client?
Correct Answer: D
Rationale: Cyclophosphamide (Cytoxan) can cause hemorrhagic cystitis, a condition characterized by inflammation of the bladder wall leading to bleeding.
To prevent this complication, the client should drink at least eight glasses of water a day. Walking to prevent calcium loss (choice
A) and increasing fiber intake (choice
B) are not directly related to the side effects of Cytoxan, making them unnecessary instructions in this case. While nausea is a common side effect of chemotherapy, the immediate reporting of nausea to the doctor (choice
C) is important but not specifically related to the use of Cytoxan in this scenario.
Question 4 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 5 of 5
The nurse and a colleague are on the elevator after their shift, and they hear a group of health caregivers discussing a recent client scenario. Which client right might be breached?
Correct Answer: C
Rationale: The right to confidentiality of client information might be breached when client care situations are discussed in public areas or without regard to maintaining the information as private and confidential. In this scenario, discussing a client scenario in a public elevator could potentially lead to the breach of the client's right to confidentiality. The other choices, such as the right to refuse treatment, right to continuity of care, and right to reasonable responses to requests, are not typically breached in this context. It is important to uphold client confidentiality to maintain trust and privacy in healthcare settings.