NCLEX-PN
NCLEX PN 2023 Quizlet Questions
Extract:
Question 1 of 5
While undergoing hemodialysis, the client becomes restless and tells the nurse he has a headache and feels nauseous. Which of the following complications does the nurse suspect?
Correct Answer: C
Rationale: In this scenario, the client undergoing hemodialysis is experiencing symptoms like restlessness, a headache, and nausea. These symptoms are indicative of an air embolus, a serious complication that can occur during hemodialysis. Air embolus happens when air enters the bloodstream and can lead to symptoms like restlessness, a headache, and nausea. It is crucial for the nurse to suspect and address this complication promptly to prevent further harm to the client.
Choices A and D (Infection) are less likely in this case, as the symptoms presented are more suggestive of an air embolus rather than an infection.
Choice B (Disequilibrium syndrome) is also less likely as the symptoms described are not typical of this syndrome.
Therefore, the correct answer is C: Air embolus.
Question 2 of 5
The nurse teaching about preventable diseases should emphasize the importance of getting the following vaccines:
Correct Answer: D
Rationale: Vaccines are one of the most effective methods of preventing and controlling certain communicable diseases. The smallpox vaccine is not currently in use because the smallpox virus has been declared eradicated from the world's population. Diseases such as polio, diphtheria, pertussis, and measles are mostly controlled by routine childhood immunization. They have not, however, been eradicated, so children need to be immunized against these diseases.
Choices A, B, and C contain vaccines that do not protect against preventable diseases like polio, pertussis, and measles.
Therefore, the correct choice is D.
Question 3 of 5
A patient has been ordered to receive Klonopin for the first time. Which of the following side effects is not associated with Klonopin?
Correct Answer: D
Rationale: The correct answer is 'Diplopia.' While drowsiness, ataxia, and salivation elevation are common side effects associated with Klonopin, diplopia is not typically linked to this medication. Diplopia, or double vision, is not a common side effect reported with the use of Klonopin. It is important to monitor patients for the known side effects such as drowsiness, ataxia, and salivation elevation when administering Klonopin.
Choice A, B, and C are incorrect as they are known side effects of Klonopin, unlike diplopia which is not commonly observed with this medication.
Question 4 of 5
When treating anemia in clients with renal failure, erythropoietin should be given in conjunction with:
Correct Answer: A
Rationale: Erythropoietin is used to stimulate red blood cell production in clients with renal failure.
To effectively increase red blood cell production, adequate levels of iron, folic acid, and B12 are necessary. These nutrients play crucial roles in erythropoiesis.
Choices B, an increase in protein in the diet, is not directly related to enhanced erythropoiesis and can potentially worsen uremia.
Choices C and D, vitamins A and C, and an increase in calcium in the diet, are not directly involved in red blood cell production and are not essential in this context.
Question 5 of 5
The client seeks advice from the nurse regarding issues with flatus due to colostomy. Which food should the nurse recommend?
Correct Answer: D
Rationale: The correct answer is yogurt. Yogurt can help reduce gas formation in clients with a colostomy. High-fiber foods like bran can stimulate peristalsis and increase flatulence, which is not helpful in this situation. Cruciferous vegetables, such as cabbage, broccoli, and kale, and beans tend to increase gas formation. Carbonated beverages, along with smoking, chewing gum, and drinking fluids with a straw, can also increase gas formation.
Therefore, the nurse should recommend yogurt to help alleviate the client's issues with flatus.