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NCLEX-PN Exam Questions - Part 69
1. Local anesthetics block the conduction of pain impulses to the spinal cord. Their duration of action:
A) is always longer than general anesthesia.
B) is determined by the rate of diffusion and absorption at the site of administration.
C) is usually short (10 minutes).
D) varies, depending on the client - s weight.
2. Which of the following clients should refrain from therapy with the thiazide diuretic hydrochlorothiazide (HCTZ)?
A) a client with renal impairment
B) a client with hypertension
C) a client with diabetes mellitus, type II
D) a client with renal calculi (kidney stones)
3. Delegation of tasks to appropriate personnel allows the nurse to:
A) take a break.
B) keep other members of the team productive.
C) maintain tight control of all aspects of the workflow.
D) realize the importance of her role by making all decisions.
4. Activities of effective supervisors can be taskrelated or people-related activities. An example of a task-related supervisory activity is:
A) coaching.
B) evaluating.
C) delegating.
D) facilitating.
5. What is the reason for a contract between nurse and client?
A) Contracts state the roles the participants take.
B) Contracts are indicative of the feeling tone established between participants.
C) Contracts are binding and prevent either party from ending the relationship prematurely.
D) Contracts spell out the participation and responsibilities of both parties.
A) is always longer than general anesthesia.
B) is determined by the rate of diffusion and absorption at the site of administration.
C) is usually short (10 minutes).
D) varies, depending on the client - s weight.
2. Which of the following clients should refrain from therapy with the thiazide diuretic hydrochlorothiazide (HCTZ)?
A) a client with renal impairment
B) a client with hypertension
C) a client with diabetes mellitus, type II
D) a client with renal calculi (kidney stones)
3. Delegation of tasks to appropriate personnel allows the nurse to:
A) take a break.
B) keep other members of the team productive.
C) maintain tight control of all aspects of the workflow.
D) realize the importance of her role by making all decisions.
4. Activities of effective supervisors can be taskrelated or people-related activities. An example of a task-related supervisory activity is:
A) coaching.
B) evaluating.
C) delegating.
D) facilitating.
5. What is the reason for a contract between nurse and client?
A) Contracts state the roles the participants take.
B) Contracts are indicative of the feeling tone established between participants.
C) Contracts are binding and prevent either party from ending the relationship prematurely.
D) Contracts spell out the participation and responsibilities of both parties.
1. Right Answer: B
Explanation: Diffusion and absorption depend on the chemical properties of the anesthetic and other factors such as local pH and blood flow. Duration might or might not be longer than general anesthesia. Duration can be short if the type of local anesthetic is a short-acting agent. Client weight is not a factor. PharmacologicalTherapies
2. Right Answer: C
Explanation: The thiazide class of diuretics cause metabolic abnormalities such as elevated blood glucose levels. This elevation is caused in part by diuretic-induced potassium deficiency. Hypokalemia reduces the secretion of insulin by pancreatic beta cells, thereby increasing plasma glucose levels. Thiazides have been used for many years in clients with the conditions described in choices 1 and 2. Thiazides decrease calcium excretion, thus decreasing the likelihood of renal calculi.Pharmacological Therapies
3. Right Answer: B
Explanation: Maintaining the productivity of all team members by delegating tasks appropriate to the job descriptions of the personnel increases work effectiveness and efficiency. Coordinated Care
4. Right Answer: C
Explanation: Delegating is the act (or task) of assigning work to those that are capable and competent to do the work. Coaching, evaluating, and facilitating are supervisory activities that are people related. Coordinated Care
5. Right Answer: D
Explanation: A contract emphasizes that the nurse works with the client, rather than doing something for the client.Working withsuggests that each party is expected to participate and share responsibility for outcomes. Contracts do not,however, stipulate roles or feeling tone, nor is premature termination expressly forbidden.Psychosocial Integrity
Explanation: Diffusion and absorption depend on the chemical properties of the anesthetic and other factors such as local pH and blood flow. Duration might or might not be longer than general anesthesia. Duration can be short if the type of local anesthetic is a short-acting agent. Client weight is not a factor. PharmacologicalTherapies
2. Right Answer: C
Explanation: The thiazide class of diuretics cause metabolic abnormalities such as elevated blood glucose levels. This elevation is caused in part by diuretic-induced potassium deficiency. Hypokalemia reduces the secretion of insulin by pancreatic beta cells, thereby increasing plasma glucose levels. Thiazides have been used for many years in clients with the conditions described in choices 1 and 2. Thiazides decrease calcium excretion, thus decreasing the likelihood of renal calculi.Pharmacological Therapies
3. Right Answer: B
Explanation: Maintaining the productivity of all team members by delegating tasks appropriate to the job descriptions of the personnel increases work effectiveness and efficiency. Coordinated Care
4. Right Answer: C
Explanation: Delegating is the act (or task) of assigning work to those that are capable and competent to do the work. Coaching, evaluating, and facilitating are supervisory activities that are people related. Coordinated Care
5. Right Answer: D
Explanation: A contract emphasizes that the nurse works with the client, rather than doing something for the client.Working withsuggests that each party is expected to participate and share responsibility for outcomes. Contracts do not,however, stipulate roles or feeling tone, nor is premature termination expressly forbidden.Psychosocial Integrity
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