NCLEX-PN
Health Promotion and Maintenance NCLEX PN Questions Questions
Extract:
Question 1 of 5
Which of the following clients should refrain from therapy with the thiazide diuretic hydrochlorothiazide (HCTZ)?
Correct Answer: C
Rationale: Thiazides can elevate blood glucose by causing hypokalemia, which reduces insulin secretion, making them unsuitable for clients with type II diabetes.
Question 2 of 5
What is the threshold of dextrose concentrations that can safely be administered through a peripheral IV?
Correct Answer: C
Rationale: Dextrose concentrations below 10% are considered safe for administration through a peripheral IV, as concentrations above this threshold can lead to phlebitis, causing inflammation of the vein. Concentrations above 10% should not be administered through a peripheral IV to prevent vein irritation.
Choice A is incorrect because concentrations above 20% are too high for a peripheral IV.
Choice B is incorrect as dextrose concentrations below 5% are too low to be effective.
Choice D is incorrect because the statement is reversed, suggesting that concentrations above 5% are safe, which is not true.
Question 3 of 5
A nurse in the emergency department is assisting with data collection of a client. The presence of which condition would cause the nurse to avoid testing range of motion (ROM) of the cervical spine?
Correct Answer: B
Rationale: A nurse assisting with data collection for a client should avoid testing the range of motion (ROM) of the cervical spine if the client has neck trauma. Neck trauma may have resulted in a cervical fracture, and further movement of the neck could lead to spinal cord injury. Testing ROM does not need to be avoided for headache, sinus infection, or muscle spasms as these conditions do not pose the same risk of exacerbating a potential cervical injury.
Therefore, the correct answer is neck trauma.
Question 4 of 5
A 64 year-old male who has been diagnosed with COPD and CHF exhibits an increase in total body weight of 10 lbs. over the last few days. The nurse should:
Correct Answer: B
Rationale: Checking the intake and output prior to making any decisions about patient care helps determine if the weight gain is due to fluid retention, a common issue in CHF.
Question 5 of 5
The school nurse is conducting health screenings on schoolchildren. During the screening, she identifies a child with the behavioral characteristics of attention deficit disorder. Which of the following behaviors is consistent with this disorder?
Correct Answer: B
Rationale: The correct answer is 'overreaction to stimuli from the surroundings.' Children with attention deficit disorder often exhibit hypersensitivity to stimuli, leading to overreactions. Slow speech development is not a hallmark of attention deficit disorder; it is more associated with other learning disabilities. While children with this disorder may have difficulty focusing, they can usually carry on a conversation. Concrete thinking is not a common characteristic of attention deficit disorder, as individuals with this disorder may struggle with abstract thinking and impulsivity.