NCLEX NCLEX-PN
NCLEX-PN Quizlet 2023
1. Chemotherapeutic agents often produce a degree of myelosuppression including leukopenia. Leukopenia does not present immediately but is delayed several days or weeks because:
- A. the client’s hemoglobin and hematocrit are normal.
- B. red blood cells are affected first.
- C. folic acid levels are normal.
- D. the current white cell count is not affected by chemotherapy.
Correct answer: the current white cell count is not affected by chemotherapy.
Rationale: Leukopenia does not present immediately after chemotherapy because time is required to clear circulating cells before the effect on precursor cell maturation in the bone marrow becomes evident. Leukopenia is characterized by an abnormally low white blood cell count. The correct answer is D because the white cell count is not immediately affected by chemotherapy. Choices A, B, and C are incorrect as they pertain to red blood cells (hemoglobin and hematocrit), which are not directly related to the delayed onset of leukopenia.
2. What should be the first action upon the discovery of an electrical fire?
- A. Disconnect the electrical power if it can be done safely
- B. Smother the source with an object like a blanket
- C. Saturate the source with water or another liquid
- D. Immediately activate the fire alarm
Correct answer: Disconnect the electrical power if it can be done safely
Rationale: The correct initial action upon discovering an electrical fire is to disconnect the electrical power if it can be done safely. This helps prevent the fire from spreading through the electrical system. Smothering the fire with a blanket is not recommended for electrical fires as it can fuel the fire. Saturating the source with water or other liquids is also not advised as it can lead to electric shock or spread the fire. Activating the fire alarm is important, but it should be done after disconnecting the power to prevent further escalation of the fire.
3. A 37-year-old female client asks the nurse about contraception options and expresses interest in oral contraception pills. Which of the following statements would indicate that oral contraception is appropriate for this client?
- A. “I quit smoking last year, but I started again recently. Maybe I’ll try to quit later this year.”
- B. “I am very diligent in taking my thyroid medications at the same time every day.”
- C. “I was hospitalized for deep vein thrombosis five years ago.”
- D. “I was recently diagnosed with breast cancer.”
Correct answer: “I was hospitalized for deep vein thrombosis five years ago.”
Rationale: The correct answer is the statement mentioning a history of deep vein thrombosis five years ago. Oral contraceptives are generally not recommended for individuals with a history of deep vein thrombosis due to the increased risk of blood clots. Choice B, about being diligent in taking thyroid medications, does not directly relate to the safety of using oral contraceptives. Choice D, about a recent breast cancer diagnosis, would contraindicate the use of hormonal contraceptives. Choice A, mentioning a recent return to smoking, raises concerns about using hormonal contraceptives due to the increased risk of cardiovascular complications.
4. A nurse is assisting with data collection on an older client who will be seen by a physician in a health care clinic. When the nurse asks the client about sexual and reproductive function, the client reports concern about sexual dysfunction. What should be the nurse’s next action?
- A. Document the client’s concern in the medical record.
- B. Report the client’s concern to the health care provider.
- C. Tell the client that sexual dysfunction is not a normal age-related change.
- D. Ask the client about medications he is taking.
Correct answer: Ask the client about medications he is taking.
Rationale: Sexual dysfunction is not a normal process of aging. The prevalence of chronic illness and medication use is higher among older adults than in the younger population. Illnesses and medications can interfere with the normal sexual function of older men and women. It is crucial to assess the medications the client is taking as they could be contributing to the reported sexual dysfunction. While documenting the concern and informing the healthcare provider are important steps, the immediate priority is to gather information on the medications that could be impacting the client's sexual function. Therefore, the nurse's next action should be to ask the client about the medications he is taking.
5. How does the family carry out its health care functions?
- A. The family provides very little preventive health care to its members at home.
- B. The family provides preventive health care to its members at home.
- C. The family pays for most health services.
- D. The family decides when and where to hospitalize its members.
Correct answer: The family provides preventive health care to its members at home.
Rationale: Families play a crucial role in providing preventive health care to their members at home. This includes activities such as promoting healthy lifestyles, ensuring vaccinations, scheduling regular check-ups, and intervening early when health issues arise. Therefore, the correct answer is that the family provides preventive health care to its members at home. Choices A, C, and D are incorrect because families are expected to actively engage in preventive health care practices rather than providing very little preventive care, solely paying for health services, or making hospitalization decisions. The focus is on the proactive role of families in maintaining the health of their members.
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