NCLEX-PN
Best NCLEX Next Gen Prep Questions
Extract:
Question 1 of 5
Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?
Correct Answer: D
Rationale: The correct answer is the vaginal sponge. The vaginal sponge, when used with foam or jelly contraception, acts as a barrier method that can reduce the transmission of HIV and other STDs, in addition to preventing pregnancy. In contrast, IUDs, Norplant, and oral contraceptives are effective in preventing pregnancy but do not provide protection against the transmission of HIV and STDs. IUDs prevent pregnancy by affecting sperm movement and survival, Norplant releases hormones to prevent ovulation, and oral contraceptives work by inhibiting ovulation. However, these methods do not create a physical barrier against HIV and STD transmission. It is important to counsel clients using methods like IUDs, Norplant, and oral contraceptives to also use chemical or barrier contraceptives to lower the risk of HIV or STD transmission.
Question 2 of 5
When a client who is 25 years of age asks the nurse when she should seek fertility counseling, the best response by the nurse is:
Correct Answer: D
Rationale: The best response in this scenario is to offer immediate guidance while also indicating when fertility counseling should be sought. While
Choice A is technically correct as guidelines recommend seeking fertility counseling after 1 year of unprotected intercourse, it lacks providing immediate guidance.
Choice B suggests seeking counseling after 6-9 months, which is earlier than the standard recommendation of 1 year.
Choice C mentions the average time to conceive for someone of the client's age without addressing the client's current concern.
Therefore,
Choice D is the most appropriate response as it offers immediate guidance along with a plan for referral if needed.
Question 3 of 5
In the context of diagnostic genetic counseling, which of the following choices is typically not made by clients?
Correct Answer: D
Rationale: In diagnostic genetic counseling, clients may face difficult decisions based on test results. Terminating the pregnancy is a choice some clients may consider if severe abnormalities are detected. Preparing for the birth of a child with special needs involves getting ready to care for a child who may require extra attention and support. Accessing support services before the birth can help clients connect with resources and professionals for assistance during and after the pregnancy. Completing the grieving process before birth is not typically a choice made in the context of genetic counseling. The grieving process often starts or continues after distressing results and can extend beyond the birth of the child.
Therefore, the correct answer is completing the grieving process before the birth.
Question 4 of 5
Which condition is associated with inadequate intake of vitamin C?
Correct Answer: D
Rationale: Scurvy is indeed associated with inadequate intake of vitamin C. Vitamin C deficiency leads to scurvy, which is characterized by weakness, anemia, gum disease, and skin hemorrhages.
Choices A, B, and C are incorrect because rickets is caused by vitamin D deficiency, marasmus is due to severe malnutrition leading to wasting, and kwashiorkor is a form of severe protein-energy malnutrition.
Question 5 of 5
How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?
Correct Answer: A
Rationale: The correct answer is 'every 24 hours.' Changing the intravenous tubing on total parenteral nutrition solutions every 24 hours is crucial due to the high risk of bacterial growth. Bacterial contamination can lead to serious infections in patients receiving total parenteral nutrition.
Choices B, C, and D are incorrect because waiting longer intervals between tubing changes increases the risk of bacterial contamination and infection, compromising patient safety. It is essential to maintain a strict 24-hour schedule to minimize the risk of complications associated with bacterial contamination.