NCLEX : General Care

Study concepts, example questions & explanations for NCLEX

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Example Questions

Example Question #731 : Nclex

Urtica dioica (stinging nettle) leaf is used for all of the following except __________.

Possible Answers:

Anti-inflammation

Allergic rhinitis

Psoriasis

Nutritional support

Correct answer:

Psoriasis

Explanation:

Urtica dioica (stinging nettle) leaf extract contains antagonists of the histamine-1 (H(1)) receptor, thus decreasing symptoms of allergic rhinitis and sinusitis. Nettle leaf extract also contains factors that inhibit mast cell tryptase, preventing degranulation and release of a host of pro-inflammatory mediators that cause the symptoms of hay fevers, and inhibits cyclooxygenase-1 (COX-1), cyclooxygenase-2 (COX-2), and hematopoietic prostaglandin D(2) synthase. As a nutritive, nettle leaf is an excellent source of vitamin A, vitamin C, iron, and calcium. Nettle leaf has shown no benefit in treatment of psoriasis, though it may help to correct any underlying nutritional deficits.

Example Question #21 : Care

Which botanical is known for its antiviral/antiretroviral activity?

Possible Answers:

Melissa officinalis (lemon balm)

Avena sativa (milky oat seeds)

Crategus spp (hawthorne)

Hypericum perforatum (St. John's wort)

Correct answer:

Hypericum perforatum (St. John's wort)

Explanation:

Hypericum perforatum (St. John's wort) has shown significant antiviral activity against a wide variety of of enveloped viruses and retroviruses. Melissa officinalis (lemon balm) and avena sativa (milky oat seeds) are both better known for their sedative effects, and crategus spp (hawthorne) is used as an antiarrhythmic and mitigates oxidative stress in cardiomyopathies.

Example Question #22 : Care

What anti-microbial constituent makes Arctostaphylos uva-ursi useful for treating urinary tract infections?

Possible Answers:

Tannins

None of these; this herb is not used for urinary tract infections

Flavanoids

Hydroquinone glycosides

Correct answer:

Hydroquinone glycosides

Explanation:

Uva-ursi contains the hydroquinone glycosides arbutin and methylarbutin, both of which have shown significant antimicrobial effects in the urinary tract. The other constituents listed have no effect on urinary infections.

Example Question #17 : Homeopathic And Alternative Medicine

Which of the following homeopathic remedy is indicated for irritable, colicky infants who cry frequently and arch their back and who are only soothed by bouncing or pressure (such as swaddling)?

Possible Answers:

Calcarea carbonica

Chamomilla

Arnica

Arsenicum album

Correct answer:

Chamomilla

Explanation:

Children needing chamomilla are hot, irritable, and very sensitive to pain. Infants are prone to colic and gastroesophageal reflux disease (GERD). They will often arch backwards when crying, and will be soothed when bounced, carried, patted, or swaddled. These infants experience difficult dentition and will chew their fingers before teething.

Arsenicum album and calcarea carbonica are both more often indicated for chilly babies that are prone to anxiety, while arnica is generally given for people who have experienced some sort of dissociative shock from a physical or emotional trauma.

Example Question #23 : Care

What are three good food sources of copper?

Possible Answers:

Sesame seeds, cashews, green leafy vegetables

Beef, eggs, apples

Grapefruit, pear, bean sprouts

Tomatoes, bananas, rice

Correct answer:

Sesame seeds, cashews, green leafy vegetables

Explanation:

Sesame seeds, cashews, and green leafy vegetables have among the highest levels of copper per serving. Other foods high in copper include crimini mushrooms, organ meats, shellfish, and beans. All of the other foods listed are low-copper foods, often recommended for patients with disorders of copper metabolism, such as Wilson's disease. 

Example Question #771 : Nclex

The nurse performs triage in the emergency department for a patient with a bee sting. The family reports a history of allergic reactions to bee stings, and the patient complains of difficulty breathing and swelling in his mouth. Which of the following is the priority of the nurse?

Possible Answers:

Maintain an open airway.

Administer oral diphenhydramine.

Contact the physician.

Obtain a full patient history.

Administer subcutaneous epinephrine.

Correct answer:

Maintain an open airway.

Explanation:

Follow the ABC's of nursing priority: airway, breathing, circulation. It is most most important for the nurse to maintain a patent airway, as the symptoms manifested suggest an anaphylactic reaction. Epinephrine may be given after the airway is established. Oral diphenhydramine is usually given for mild allergic reactions. The physician may be contacted later; patient safety is the priority.

Example Question #21 : General Care

The client in the termination phase of the nurse-client relationship is being very confrontational. How should the nurse interpret this behavior?
Possible Answers:
The patient should be admitted to the hospital
The treatment should revisit the working phase
The nurse has done something to offend the client
This behavior is common for a client in the termination phase
Correct answer: This behavior is common for a client in the termination phase
Explanation: Confrontational behavior is very common for a client in the termination phase. The nurse should not assume that she offended the client, and further action in terms of therapy should not be addressed until completing the termination phase.

Example Question #22 : General Care

The nurse is in the orientation phase of the nurse-client relationship where the client has been sexually assaulted. During this phase, the nurse should:
Possible Answers:
Actively listen to the client express his thoughts and feelings
Explore personal ideas, stereotypes, and biases that my affect the nurse-client relationship
Identify themes of patterns of patient behavior and possible coping mechanisms
Establish acceptance, trust, and boundaries
Correct answer: Establish acceptance, trust, and boundaries
Explanation: During the orientation phase the nurse should establish acceptance, trust, and boundaries with the client, which will be built upon in later phases.

Example Question #1 : Nurse Patient Relationship

Acceptance, trust and boundaries are established during which phase of the therapeutic nurse-client relationship?
Possible Answers:
Termination
Preinteraction
Working
Orientation
Correct answer: Orientation
Explanation: Acceptance, trust, and boundaries are established in the orientation phase of therapy.

Example Question #23 : General Care

A client calls the clinic and tells the nurse that her daughter has just been stung by a bee on the arm. She is worried that her daughter will have a severe reaction. What should the nurse do?
Possible Answers:
Advise the client to bring her daughter to the emergency room
Tell the client to call back if the condition worsens
Ask the client if her daughter has ever been stung by a bee in the past
Instruct the client to keep the arm elevated until swelling goes away
Correct answer: Tell the client to call back if the condition worsens
Explanation: The nurse does not have reason to suspect that the child will have an allergic reaction before symptoms are present. Thus, the patient should call back or come to the emergency room if symptoms present.
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