NCLEX-PN
PN Nclex Questions 2024 Questions
Extract:
Question 1 of 5
Which of the following solutions is routinely used to flush an IV device before and after the administration of blood to a client?
Correct Answer: A
Rationale: The correct answer is 0.9% sodium chloride. Normal saline is 0.9% sodium chloride, which has the same osmolarity as blood and does not cause cell lysis.
Choices 2 and 3, 5% dextrose in water solution and sterile water, are hypotonic solutions that can lead to cell lysis.
Choice 4, Heparin sodium, is an anticoagulant and is not routinely used to flush an IV device before and after the administration of blood.
Question 2 of 5
To decrease a client's use of denial and increase the client's expression of feelings, what should the nurse do?
Correct Answer: B
Rationale: The most appropriate approach to decrease a client's use of denial and promote the expression of feelings is to positively reinforce each expression of feelings. This method helps the client feel supported and validated, encouraging them to continue expressing their emotions openly. Positively reinforcing the expression of feelings can help reduce the need for denial as the client learns that their emotions are acknowledged and accepted.
Choices A, C, and D are incorrect.
Choice A of telling the client to stop using denial is too directive and may be ineffective. Instructing the client to express feelings (
Choice
C) lacks positive reinforcement, and challenging the client each time denial is used (
Choice
D) can create a confrontational environment that hinders therapeutic progress.
Question 3 of 5
While the client is receiving quinidine, the nurse should monitor the ECG for:
Correct Answer: D
Rationale: Quinidine can cause widened Q-T intervals and heart block, leading to a prolonged QT interval on the ECG. Other signs of myocardial toxicity associated with quinidine include notched P waves and widened QRS complexes. Common side effects of quinidine include diarrhea, nausea, and vomiting, while less common effects may include tinnitus, vertigo, headache, visual disturbances, and confusion. Monitoring for a prolonged QT interval is crucial due to the potential risk of serious arrhythmias.
Choices A, B, and C are not typically associated with the use of quinidine and are therefore incorrect in this context.
Question 4 of 5
When providing culturally competent care to a couple from the Philippines living in the United States who are expecting their first child, what should the nurse do first?
Correct Answer: A
Rationale: When providing culturally competent care, the nurse's initial step is to reflect on and understand their own cultural beliefs and biases. By doing so, the nurse can approach the care of the couple from the Philippines with sensitivity and respect. This self-awareness helps the nurse recognize potential differences in beliefs and values, fostering effective communication and care. Option B is incorrect because it does not address the nurse's need for self-reflection. Option C is incorrect as it focuses on the clients adapting to the new country's practices rather than the nurse understanding the clients' existing beliefs. Option D is incorrect as it pertains to family dynamics and gender roles rather than the nurse's self-awareness.
Question 5 of 5
How can medication bound to protein affect drug availability?
Correct Answer: C
Rationale: Medication bound to protein reduces the availability of the drug to produce desired medicinal effects because only unbound drugs can effectively bind to active receptor sites. When a drug is bound to protein, it cannot bind with receptor sites, limiting its therapeutic impact.
Choice A is incorrect because drug availability is reduced when it is bound to protein.
Choice B is incorrect as rapid distribution to receptor sites is not possible if the drug is bound to protein and cannot bind with receptors.
Choice D is incorrect as metabolism does not increase when the drug is bound to protein; the liver first needs to separate the drug from the protein before metabolism can occur.