NCLEX-PN
2024 Nclex Questions Questions
Extract:
Question 1 of 5
Why might the physician order antibiotics to be given through the central venous access device (CVAD) rather than through a peripheral IV line if the CVAD becomes infected?
Correct Answer: D
Rationale: When a patient's central venous access device (CVA
D) becomes infected, administering antibiotics through the line is essential to attempt to eliminate microorganisms within the catheter. The goal is to prevent the necessity of removing the catheter, which might be required if the infection persists.
Choice A, '
To prevent infiltration of the peripheral line,' is incorrect as the priority is addressing the catheter infection, not preventing issues with a peripheral line.
Choice B, '
To reduce the pain and discomfort associated with antibiotic administration in a small vein,' is not relevant to the rationale for choosing the CVAD for antibiotic administration.
Choice C, '
To lessen the chance of an allergic reaction to the antibiotic,' is also incorrect as the main focus is managing the catheter-associated infection rather than allergy prevention.
Question 2 of 5
The mother of a newborn child is very upset. The child has a cleft lip and palate. The type of crisis this mother is experiencing is:
Correct Answer: C
Rationale: The mother is experiencing a situational crisis as the unexpected birth of a child with a cleft lip and palate has placed her in a challenging situation she did not anticipate. This type of crisis is triggered by specific events and circumstances.
Choice A, reactive, implies responding to a stressor after it has occurred, which is not the case here.
Choice B, maturational, refers to stress related to developmental stages, not to external events like the child's condition.
Choice D, adventitious, involves crises resulting from events outside one's control, such as natural disasters, which do not apply in this scenario.
Question 3 of 5
Before administering Theodur to a 10-year-old being treated for asthma, the nurse should check the:
Correct Answer: C
Rationale: The correct answer is to check the pulse. Theodur is a bronchodilator used in asthma treatment, and one of the side effects is tachycardia (increased heart rate).
Therefore, it is essential to assess the pulse rate before administering Theodur to monitor for any potential tachycardia. Checking urinary output (
Choice
A), blood pressure (
Choice
B), and temperature (
Choice
D) are not directly related to the immediate side effects of bronchodilators like Theodur in this context, making them unnecessary assessments.
Question 4 of 5
When medications have an additive, synergistic, or antagonistic effect on a tissue, a ________ reaction has occurred.
Correct Answer: B
Rationale: The correct answer is 'pharmacodynamic.' Pharmacodynamics pertain to the effect of a drug on receptors, explaining how drugs affect tissues. Pharmaceutical reactions refer to chemical reactions between drugs before administration or absorption, not their effect on tissues. Pharmacokinetic reactions involve how the body affects the drug, not the tissue. Drug incompatibilities are essentially pharmaceutical reactions, not the specific effects on tissues seen in pharmacodynamic reactions.
Question 5 of 5
Which of the following attitudes is essential in a nurse who assists clients during crises?
Correct Answer: A
Rationale: Viewing crisis intervention as the first step in solving bigger problems is essential in a nurse who assists clients during crises. This approach focuses on addressing the immediate crisis first, which can potentially prevent the escalation of bigger problems. Wanting to help clients solve all problems identified (
Choice
B) may not be feasible or necessary during a crisis situation where immediate intervention is crucial. Taking an active role in guiding the process (
Choice
C) is important, but the primary focus should be on crisis intervention. Feeling that work requires identification with all of a client's problems (
Choice
D) may lead to a lack of focus on the immediate crisis at hand.