NCLEX PN 2023 Quizlet

NCLEX PN 2023 Quizlet Related

Review NCLEX PN 2023 Quizlet related questions and content

A client had a C5 spinal cord contusion that resulted in quadriplegia. Two days after the injury occurred, the nurse sees his mother crying in the waiting room. The mother asks the nurse whether her son will ever play football again. Which of the following is the best initial response?

  • A. "Given time and motivation, your son may regain some function, but I will seek more information from the physician."?
  • B. Maintain a calm demeanor and speech pattern while addressing the mother's concerns.
  • C. "I'm not sure, but I'll call the physician to discuss this with you promptly."?
  • D. "It's not beneficial for your son if you get upset."?
Correct Answer: C

Rationale: The best initial response in this situation is to acknowledge the mother's concern, express uncertainty, and offer to obtain more information from the physician. By saying, "I'm not sure, but I'll call the physician to discuss this with you promptly,"? the nurse demonstrates empathy, honesty, and a commitment to providing accurate information. Offering vague reassurance (Choice A) may raise false hopes as outcomes for spinal cord injuries are unpredictable. While maintaining a calm demeanor (Choice B) is important, it does not directly address the mother's immediate need for information. Discouraging the mother from feeling upset (Choice D) is dismissive of her emotions and does not address her question, which is seeking information about her son's prognosis.

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A high school nurse observes a 14-year-old female rubbing her scalp excessively in the gym. What is the most appropriate course of action for the nurse?

  • A. Request the female’s parents for a private evaluation of her scalp
  • B. Contact the female’s parents regarding the observations
  • C. Observe the hairline and scalp for possible signs of lice
  • D. Inform the student’s physician about the situation
Correct Answer: C

Rationale: The most appropriate course of action for the nurse is to observe the hairline and scalp for possible signs of lice. The student's behavior of excessively rubbing her scalp raises concerns about a potential infestation, making it necessary to look for signs firsthand. Contacting the parents or the physician should be considered after observing for signs of lice to provide more information and take appropriate action. Requesting a private evaluation from the parents may not be required initially, as lice infestation is a common concern among children and observing for signs is the immediate step to address the situation.

What is the primary sign of displacement following a total hip replacement?

  • A. pain on movement and weight bearing
  • B. hemorrhage
  • C. affected leg appearing 1-2 inches longer
  • D. edema in the area of the incision
Correct Answer: A

Rationale: The correct answer is pain on movement and weight bearing. This pain is the primary sign of prosthesis displacement after a total hip replacement, indicating pressure on nerves or muscles due to dislocation. Hemorrhage is not typically associated with prosthesis displacement. While the affected leg may appear longer, this is not the primary sign of displacement; it might actually be shorter due to muscle spasm. Edema in the incision area is not a primary indicator of prosthesis displacement.

What is a chemical reaction between drugs before their administration or absorption known as?

  • A. a drug incompatibility
  • B. a side effect
  • C. an adverse event
  • D. an allergic response
Correct Answer: A

Rationale: A chemical reaction between drugs before their administration or absorption is termed a drug incompatibility. This phenomenon commonly happens when drug solutions are mixed before intravenous administration, but it can also occur with orally administered drugs. Choices B, C, and D are incorrect because side effects, adverse events, and allergic responses occur after the administration and absorption of drugs, not prior to it.

A client is being taught about self-administration of Haldol 15 mg po hs. For which side effect/s should the client seek medical attention?

  • A. Shortness of breath and fatigue
  • B. Restlessness and muscle spasms
  • C. Dry mouth
  • D. Diarrhea
Correct Answer: B

Rationale: The correct answer is restlessness and muscle spasms. Haldol, an antipsychotic medication, can cause extrapyramidal side effects such as muscle spasms and restlessness. These side effects can be serious and should prompt the client to seek medical attention. Shortness of breath, fatigue, dry mouth, and diarrhea are not commonly associated with Haldol use, making choices A, C, and D incorrect.

The nurse is assessing the newborn's respirations. Which of these findings would indicate a need for follow-up and further intervention?

  • A. irregular respirations
  • B. abdominal respirations
  • C. shallow respirations
  • D. 70 breaths per minute
Correct Answer: D

Rationale: The ideal respiratory rate in a newborn is 30-60 breaths per minute. A respiratory rate of 70 breaths per minute indicates tachypnea and may require intervention. Therefore, a rate of 70 breaths per minute would necessitate follow-up and further intervention. Irregular, abdominal, and shallow respirations are common in newborns and may not necessarily indicate the need for immediate follow-up or intervention.

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