NCLEX NCLEX-PN
NCLEX PN 2023 Quizlet
1. 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.
2. A client has been taking alprazolam (Xanax) for four years to manage anxiety. The client reports taking 0.5 mg four times a day. Which statement indicates that the client understands the nurse’s teaching about discontinuing the medication?
- A. “I can drink alcohol now that I am decreasing my Xanax.”
- B. “I should not take another Xanax pill. Here is what is left of my last prescription.”
- C. “I should take three pills per day next week, then two pills for one week, then one pill for one week.”
- D. “I can expect to be sleepy for several days after stopping the medicine.”
Correct answer: “I should take three pills per day next week, then two pills for one week, then one pill for one week.”
Rationale: Explanation: When discontinuing alprazolam (Xanax) after long-term use, it is crucial to taper the dosage gradually to prevent withdrawal symptoms. The correct statement indicates an understanding of this by planning a structured decrease in dosage over time. Choice A is incorrect as drinking alcohol while decreasing Xanax can be dangerous and is not recommended. Choice B is incorrect as abruptly stopping Xanax is not safe and can lead to withdrawal symptoms. Choice D is incorrect as expecting to be sleepy for several days after stopping the medication does not address the need for a gradual tapering process to avoid withdrawal symptoms.
3. A licensed practical nurse tells the certified nursing assistant (CNA) staff that they will need to comply with the mandatory overtime policy that the long-term care facility has implemented. Later that day, the nurse overhears a CNA complaining about the policy and telling other CNAs that she will not work the overtime if she has made other plans after her regular shift. What is the best approach for the nurse to use in dealing with the conflict?
- A. Providing a positive reward system for the CNA to encourage working the mandatory overtime
- B. Ignoring the complaints
- C. Avoiding assigning the CNA mandatory overtime
- D. Meeting with the CNA regarding her behavior concerning the overtime policy
Correct answer: Meeting with the CNA regarding her behavior concerning the overtime policy
Rationale: In this situation, the best approach for the nurse is to meet with the CNA regarding her behavior concerning the overtime policy. Initiating a discussion is crucial to address resistance by a staff member. A face-to-face meeting allows for the verbalization of feelings, identification of problems, and the opportunity to develop strategies to solve the issue. Ignoring the complaints and avoiding assigning mandatory overtime do not tackle the root of the problem. Providing a positive reward system might offer a temporary fix but does not directly address the resistance and conflict.
4. How can a diet high in fiber content benefit an individual?
- A. aid in rapid weight loss.
- B. reduce diabetic ketoacidosis.
- C. lower cholesterol.
- D. reduce the requirement for folate.
Correct answer: lower cholesterol.
Rationale: A diet high in fiber content can help lower cholesterol levels. Fiber-rich foods such as grains, apples, potatoes, and beans are known to aid in reducing cholesterol by binding to cholesterol in the digestive system and preventing its absorption into the bloodstream. Choice A is incorrect as the question does not specify losing weight rapidly but rather focuses on the benefits of a high-fiber diet, which includes aiding in weight management through promoting satiety and regulating digestion. Choice B is incorrect because while fiber helps manage blood sugar levels, it is not directly related to reducing diabetic ketoacidosis, a serious complication of diabetes. Choice D is incorrect as a high-fiber diet does not reduce the need for folate; however, it can aid in the absorption of folate and other essential nutrients.
5. A client admitted with an episode of bleeding esophageal varices is receiving propranolol (Inderal LA). The nurse knows to monitor for?
- A. Hypertension
- B. Hyperkalemia
- C. Bradycardia
- D. Arthralgia
Correct answer: Bradycardia
Rationale: The correct answer is 'Bradycardia.' Propranolol is a beta-blocking agent used to decrease the heart rate. In the case of bleeding esophageal varices, propranolol is given to reduce the risk of bleeding by keeping the heart rate around 55 beats per minute. Monitoring for bradycardia is essential as the medication's intended effect is to lower the heart rate. Choices A, B, and D are incorrect because propranolol would not typically cause hypertension, hyperkalemia, or arthralgia.
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