NCLEX NCLEX-PN
PN Nclex Questions 2024
1. When assessing a client's self-expectations about weight loss, which question is most appropriate?
- A. “What makes you think you can change your eating habits?”
- B. “How do you feel about losing weight?”
- C. “How important is it that you lose weight?”
- D. “What do you think is a realistic weekly weight loss for you?”
Correct answer: “What do you think is a realistic weekly weight loss for you?”
Rationale: When assessing a client's self-expectations about weight loss, it is crucial to inquire about what the client considers a realistic weekly weight loss goal. This question helps in understanding the client's perception and expectations regarding the weight loss journey, enabling the establishment of achievable goals. Choices A, B, and C do not directly address the aspect of setting realistic goals for weight loss. While questioning about changing eating habits, feelings about losing weight, or the importance of weight loss are relevant, they do not specifically focus on setting achievable goals, which is essential for effective weight management.
2. In alcoholics with anemia:
- A. Pernicious anemia is more common than folic acid deficiency.
- B. Iron deficiency and folic acid deficiency can coexist.
- C. The alcohol interferes with iron absorption.
- D. Oral vitamin replacement is contraindicated.
Correct answer: Iron deficiency and folic acid deficiency can coexist.
Rationale: In alcoholics with anemia, iron deficiency and folic acid deficiency can coexist due to poor dietary intake and malabsorption issues associated with chronic alcohol consumption. Pernicious anemia, primarily related to vitamin B12 deficiency, is not commonly seen in alcoholics. While alcohol can interfere with iron absorption, it is not the sole factor contributing to anemia in alcoholics. Oral vitamin replacement is not contraindicated in alcoholics with anemia; however, it may be less effective due to absorption issues related to alcohol consumption.
3. A client newly diagnosed with Diabetes Mellitus needs education. Which of the following statements should the nurse include in this education?
- A. “You can eat anything you want, but avoid foods with sugar.”
- B. “You need to lose weight, so your diet must be controlled.”
- C. “You need a diet and exercise program.”
- D. “You must reduce salt, fat, and sugar intake in your diet.”
Correct answer: “You need a diet and exercise program.”
Rationale: A client newly diagnosed with Diabetes Mellitus requires education on managing their condition. Choice C is the correct answer because it emphasizes the importance of a comprehensive approach involving both diet and exercise. This holistic approach is crucial in managing blood sugar levels and overall health for individuals with diabetes. Choice A is incorrect as it provides misleading information by suggesting that the client can eat anything as long as it doesn't contain sugar, which is not accurate for diabetes management. Choice B is not the best option as it focuses solely on weight loss rather than addressing the holistic needs of a diabetic individual. Choice D is incorrect as it suggests eliminating all salt, fat, and sugar, which is an extreme approach and not a realistic or balanced way to manage diabetes.
4. The nurse is assigned to care for an infant with physiologic jaundice. Which action by the nurse would facilitate elimination of the bilirubin?
- A. Increasing the infant’s fluid intake
- B. Maintaining the infant’s body temperature at 98.6°F
- C. Minimizing tactile stimulation
- D. Decreasing caloric intake
Correct answer: Increasing the infant’s fluid intake
Rationale: Bilirubin is excreted through the kidneys, therefore increasing fluid intake can help facilitate its elimination. Maintaining the infant's body temperature is important for overall health but does not directly assist in eliminating bilirubin, making choice B incorrect. Choices C and D are irrelevant to bilirubin elimination in this scenario and do not address the specific issue of physiologic jaundice.
5. A 20-year-old female has a prescription for tetracycline. While teaching the client how to take her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive pills. Which instructions should be included in the teaching plan?
- A. The oral contraceptives will decrease the effectiveness of the tetracycline.
- B. Nausea often results from taking oral contraceptives and antibiotics.
- C. Toxicity can result when taking these two medications together.
- D. Antibiotics can decrease the effectiveness of oral contraceptives, so the client should use an alternate method of birth control.
Correct answer: Antibiotics can decrease the effectiveness of oral contraceptives, so the client should use an alternate method of birth control.
Rationale: When antibiotics and oral contraceptives are taken together, the effectiveness of the oral contraceptives can be reduced, increasing the risk of pregnancy. Therefore, it is important to advise the client to use an alternate method of birth control to prevent unintended pregnancy. Choices A, B, and C are incorrect because there is no evidence to suggest that oral contraceptives decrease the effectiveness of tetracycline, cause nausea, or result in toxicity when taken with antibiotics.
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