NCLEX-PN : Procedures and Care

Study concepts, example questions & explanations for NCLEX-PN

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Example Questions

Example Question #12 : Homeopathic And Alternative Medicine

Which of the following herbs can block Thyroid-stimulating hormone (TSH) receptors and decrease peripheral conversion of thyroxine (T4) to triiodothyronine (T3)? 

Possible Answers:

Panax ginseng and symphytum officinale (comfrey)

Lycopus virginicus (bugleweed) and melissa officionalis (lemon balm)

Zea mays (cornsilk) and sambucus nigra (elderberry)

Berberis vulgaris (barberry) and apium graveolens (celery)

Correct answer:

Lycopus virginicus (bugleweed) and melissa officionalis (lemon balm)

Explanation:

Lycopus virginicus (bugleweed) and melissa officionalis (lemon balm) have both been shown to inhibit conversion of T4 into T3 in the peripheral tissues, and have been used to treat mild cases of hyperthyroidism. The other herbs listed have no specific effect on peripheral thyroid hormone conversion. Berberis vulgaris is used to treat respiratory conditions, and infections such as the cold and flu. Apium graveolens has been used to treat pain. Panax ginseng has been used as a stimulant, and to treat sexual dysfunction in men. Symphytum officinale has been used to treat gout, and disorders of the gastrointestinal tract. Zea mays may help treatment of skin diseases. Sambucus nigra is best used to treat upper respiratory infections.

Example Question #21 : Care

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

Possible Answers:

Psoriasis

Nutritional support

Anti-inflammation

Allergic rhinitis

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)

Crategus spp (hawthorne)

Hypericum perforatum (St. John's wort)

Avena sativa (milky oat seeds)

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 #21 : General Care

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

Possible Answers:

Hydroquinone glycosides

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

Tannins

Flavanoids

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 #22 : Care

What are three good food sources of copper?

Possible Answers:

Beef, eggs, apples

Sesame seeds, cashews, green leafy vegetables

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 #1 : Pediatric Care And Development

By what age should an infant be able to pull itself up to standing?

Possible Answers:

6 months

12 months

18 months

9 months

Correct answer:

9 months

Explanation:

An infant should have the ability to pull itself up to standing by the age of 9 months. If standing is not seen after 12 months the child should be evaluated for any type of physical developmental disabilities or delays.

Example Question #26 : Care

At what age can an infant begin eating solid foods?

Possible Answers:

4 months

3 months

9 months

6 months

Correct answer:

6 months

Explanation:

Solid foods should not be introduced into an infant's diet before 6 months of age. Earlier introduction may trigger specific food allergies, as well as reducing breastmilk production in a breastfeeding mother.

Example Question #72 : Ethics, Processing, And Care

An audible click when the examiner slips the femoral head forward is considered positive for what sign?

Possible Answers:

Brudzinski sign

Scarf sign

Ortolani sign

Babinski sign

Correct answer:

Ortolani sign

Explanation:

An audible click when the examiner slips the femoral head forward is considered a positive Ortolani sign. This finding suggests congenital hip dysplasia. Babinski sign is the presence of the Babinski reflex, which is normal in infants. Scarf sign is used to assess developmental age and muscle tone in neonates. Brudzinski sign is not related to the musculoskeletal system but is part of a physical examination in cases of suspected meningitis.

Example Question #1 : Pediatric Care And Development

At what age does the posterior fontanelle close?

Possible Answers:

4 weeks

8 weeks

16 weeks

12 weeks

Correct answer:

8 weeks

Explanation:

The posterior fontanelle, which is the cartilaginous  gap at the junction of the lambdoid suture and the sagittal suture, closes at eight weeks of age.

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