NCLEX-PN
Safe and Effective Care Environment Nclex PN Questions Questions
Extract:
Question 1 of 5
Which type of diet should the nurse provide to help a client who has major burns maintain a positive nitrogen balance?
Correct Answer: A
Rationale: Clients with major burns are in a hypermetabolic state, leading to increased protein catabolism.
Therefore, a high-protein diet is essential to help them maintain a positive nitrogen balance and support wound healing. High carbohydrate diets do not directly contribute to achieving a positive nitrogen balance, making choice B incorrect. Similarly, low carbohydrate diets are not recommended for clients with major burns as carbohydrates provide essential energy needed for healing. Low protein diets are contraindicated for clients with major burns as they require higher protein intake to support tissue repair and prevent further breakdown.
Question 2 of 5
Which NSAID is comparable to morphine in efficacy?
Correct Answer: C
Rationale: The correct answer is
Toradol.
Toradol is the first injectable NSAID that has been found to be comparable to morphine in terms of efficacy. Feldene (choice
A) is not known for being comparable to morphine in efficacy. Stodal (choice
B) is a homeopathic cough syrup and not an NSAID. Elavil (choice
D) is a tricyclic antidepressant and not an NSAID, so it is not comparable to morphine in efficacy.
Therefore,
Toradol is the most appropriate choice as it matches the description provided in the question.
Question 3 of 5
A client with cirrhosis of the liver presents with ascites. The physician is to perform a paracentesis. For safety, the nurse should ask the client to:
Correct Answer: C
Rationale: When performing a paracentesis, the client must be sitting up to allow the fluid to settle in the lower abdomen.
To prevent trauma to the bladder while inserting a needle to aspirate the fluid, the bladder must be empty.
Choice A is incorrect as excessive fluid intake can make the procedure more difficult due to increased abdominal distension.
Choice B is unrelated to the procedure of paracentesis.
Choice D is incorrect as the client should be sitting up, not in the prone position, during the procedure.
Question 4 of 5
Which sign might a healthcare professional observe in a client with a high ammonia level?
Correct Answer: A
Rationale: A high ammonia level can lead to hepatic encephalopathy, which includes symptoms like confusion, disorientation, and can progress to coma. Coma is a severe condition of unconsciousness. Edema is swelling caused by excess fluid trapped in body tissues, not typically associated with high ammonia levels. Hypoxia is a condition of inadequate oxygen supply to tissues and organs, not directly related to high ammonia levels. Polyuria is excessive urination, which is not a typical sign of high ammonia levels.
Question 5 of 5
In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:
Correct Answer: C
Rationale: In a disaster situation, when assessing a diabetic client on insulin, the nurse needs to consider various factors. Diabetic signs and symptoms, nutritional status, and availability of insulin are crucial aspects to assess for appropriate management during a crisis. However, bleeding problems are not directly related to diabetes or insulin therapy.
Therefore, assessing for bleeding problems is not a priority in this context.
Choice C, bleeding problems, is the correct answer as it is not typically associated with diabetes, unlike the other options provided.