Free NCLEX NCLEX-PN Practice Exam with Questions & Answers | Set: 3

They have a high energy-to-fluid-volume ratio. Fat emulsions are formulated in 10%, 20%, and 30%

solutions and supply 1.1, 2, and 3 kilocalories respectively for each milliliter. A milliliter of 5% dextrose only

supplies 0.17 kilocalories. Choices 2, 3, and 4 are incorrect because fat emulsions are essentially pH neutral and

isotonic.Pharmacological Therapies

All the choices are elements of the ANA Code of Ethics for Nurses.Coordinated Care

Pneumococcal vaccine should be administered as a supplemental vaccine. Hepatitis A vaccine is for travelers

and individuals with chronic liver disease. The Lyme disease vaccine is for people between the ages of 15 and

70 who are at risk for Lyme disease (transmitted by ticks primarily). The typhoid vaccine is for workers in

microbiology laboratories who frequently work with Salmonella typhi.Health Promotion and Maintenance

The nurse can raise the client’s self-esteem by communicating confidence the client can participate in

actively finding solutions to the problem. The nurse also conveys the client is a worthwhile person by listening

and accepting the client’s feelings and praising the client for seeking assistance.Psychosocial Integrity

Denial (Kübler-Ross’s Stages of Grieving) is the refusal to believe that loss is happening.Psychosocial Integrity

Testing that identifies clients without a disease is said to be specific, while testing that identifies clients with a

disease is said to be sensitive. Safety and Infection Control

Attaching a restraint to a movable part of the bed can cause client injury if that part of the bed is moved

before releasing restraints.Safety and Infection Control

Clinical pathways include maps of care outcomes to be achieved prior to discharge or movement through a health care system. Insurance review for reimbursement is a function of an outside agency from the health care provider related to the amount of expected monetary compensation for services rendered to a client.CoordinatedCare

Anemia and fever are associated with Zidovudine’s side effects.

Beta cells secrete insulin.

Pleurisy is an inflammation of the pleura and is often accompanied by abrupt onset of pain. Symptoms of pleurisy are abrupt pain that is usually unilateral and localized to a specific portion of the chest. The pain is sharp, stabbing, and might radiate to the neck or shoulder. Pressure changes caused by breathing, movement, or coughing intensify the pain. Other symptoms might include fever, cough (dry, hacking), localized tenderness, diminished breath sounds, tachypnea, and pleural friction rub.Physiological Adaptation

In diabetes insipidus, the pituitary releases too much antidiuretic hormone (ADH) causing the client to produce a large amount of dilute (decreased osmolarity) urine and causing dehydration (elevated serum osmolarity). Choice 3 might be seen in a client with SIADH (syndrome ofinappropriate ADH). Choices 1 and 2 generally don’t occur— urine and serum osmolarity typically move in opposite directions.Physiological Adaptation

It is important to acknowledges the client’s fear. The other responses deny the client’s perceptions.

Psychosocial Integrity

A determination of arterial blood flow should be made, prior to encouraging increased activity, or notifying additional team members.

This is called the sour grapes form of rationalization. Rationalization is an unconscious form of self-deception in which excuses are made. Denial is an unconscious process that ignores the existence of the situation. Projection operates unconsciously and results in blaming behavior. Compensation is an attempt to make up for a perceived weakness by emphasizing a strong point.Psychosocial Integrity