NCLEX-PN : Care
Study concepts, example questions & explanations for NCLEX-PN
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Example Questions
Example Question #121 : Ethics, Processing, And Care
Prolonged alcohol abuse can result in a severe deficiency in what vitamin?
Vitamin C
Folate
Thiamine (B1)
Niacin (B3)
Thiamine (B1)
Prolonged alcohol abuse can result in a severe deficiency in thiamine, or vitamin B1 by reducing dietary thiamine intake, impairing gastrointestinal absorption of thiamine, and causing impaired thiamine utilization in cells. Note that individuals who partake in prolonged alcohol abuse may have various other dietary deficiencies.
Example Question #121 : Ethics, Processing, And Care
Which of the following symptoms is most worrisome in a patient undergoing alcohol withdrawal?
Bradycardia
Delirium tremens
Tachycardia
Agitation
Delirium tremens
Delirium tremens (DT) is a rapid onset of confusion seen during alcohol withdrawal. The symptoms of DT include altered mental status, autonomic instability, and even seizures. DT is also characterized by hallucinations such as the sensation of something "crawling" on the patient. DT is the most severe consequence of withdrawal and can be fatal if untreated.
Example Question #1 : Nurse Patient Relationship
Example Question #24 : General Care
Example Question #2 : Nurse Patient Relationship
Example Question #1 : Mental And Physical Disabilities
Identify the disorder that presents the following signs and symptoms: numbness, paralysis, loss of vision, or other neurological symptoms after a traumatic or stressful event, without any identifiable medical cause.
Schizophrenia
Stiff person syndrome
Conversion disorder
Bipolar disorder
Conversion disorder
Conversion disorder is typified by numbness, paralysis, loss of vision, or other neurological symptoms after a traumatic or stressful event, without any identifiable medical cause. Schizophrenia, bipolar disorder, and stiff person syndrome all have medically identifiable causes.
Example Question #124 : Ethics, Processing, And Care
What is the best approach towards dealing with a delirious patient?
Frequent 4-point restraints
Frequent sedation with antipsychotics
Frequent reorientation to time, place, and name.
Frequent sedation with benzodiazepenes
Frequent reorientation to time, place, and name.
Delirium is an organic dysfunction of the brain usually seen in sick patients post-op. These patients need frequent reorientation to name, time, and place until the delirium resolves. Agitation, confusion, and difficult to control behavior is typically controlled with antipsychotics, however, they are not first line treatment. Restraints should be avoided at all costs.
Example Question #71 : Care
Example Question #2 : Prevention And Risk Management
The nurse cares for an immobilized patient on the surgical floor. Which of the following nursing considerations is essential for preventing ulcerations?
Frequently turn and reposition patient while also providing skin care
Teach client the importance of coughing and deep breathing
Providing a well-balanced diet
Orient client frequently
Use compression stockings or TED hose
Frequently turn and reposition patient while also providing skin care
There are many possible complications from immobilization. Decubitus ulcers are one of these complications. It is essential to turn and reposition the patient at least every 2 hours while also maintaining skin integrity with skin care. Many other complications may result from immobilization and each have specific, related nursing considerations. Immobilization can result in desensitization and disorientation, so it is important to orient the client frequently. A well-balanced diet can promote better nutrition to prevent osteoporosis, negative nitrogen balances, and hypercalcemia from being bed-bound. Compression stockings and TED hose are essential to prevent thrombus formation from stagnant blood flow in the lower extremities, which may lead to pulmonary emboli. Coughing and deep breathing is important to prevent the stasis of respiratory secretions, which could lead to hypostatic pneumonia.
Example Question #131 : Procedures And Care
The nurse is caring for a two year old child with chicken-pox. While bathing the patient, the nurse's N-95 (surgical respirator) mask becomes saturated. The nurse should __________.
wait until the patient care is complete and replace the mask
exchange the mask for a new mask immediately
dry the mask with the in-room hairdryer
place a new mask over the old mask
wipe with mask with a clean towel
exchange the mask for a new mask immediately
Varicella (chicken-pox) is a condition requiring airborne precautions. An N-95 mask is considered ineffective when wet and needs to be replaced immediately.
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