Nursing NGN NCLEX Quiz
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Questions and Answers

Which factor is least likely to affect drug metabolism?

  • The route of administration
  • The patient's psychological state (correct)
  • The patient's age
  • Concurrent medical conditions

    • What is the most critical step a nurse should take before administering a medication?

  • Assess the patient's vital signs and symptoms
  • Confirm the patient's identity using two identifiers (correct)
  • Check the patient's allergy history only
  • Review the medication's possible interactions with food

    • Which practice is essential for effective infection control in a healthcare setting?

  • Use hand sanitizer exclusively for hand hygiene
  • Implementing regular hand hygiene before and after patient contact (correct)
  • Only change gloves when visibly soiled
  • Isolate patients based on diagnosis alone

    • In the context of patient education regarding medications, which statement reflects the most effective communication strategy?

    <p>Ensuring the patient can repeat back the instructions given</p> Signup and view all the answers

    What is a primary reason for following established protocols when managing contaminated equipment?

    <p>To comply with regulatory standards</p> Signup and view all the answers

    Which of the following best describes the purpose of effective patient education?

    <p>To empower patients to actively participate in their care</p> Signup and view all the answers

    What is a critical element in demonstrating clinical judgment in nursing?

    <p>Considering patient needs and preferences in decision-making</p> Signup and view all the answers

    Why is patient assessment considered a systematic process?

    <p>It involves comprehensive evaluation of various health factors</p> Signup and view all the answers

    Which of the following is NOT a component of effective patient education?

    <p>Ignoring patient health beliefs in discussions</p> Signup and view all the answers

    What does pharmacology primarily study?

    <p>The effects of drugs on diseases and the body</p> Signup and view all the answers

    In clinical judgment, what is essential when evaluating patient treatments?

    <p>Prioritizing ethical implications and patient safety</p> Signup and view all the answers

    How can patient assessment information best be utilized by nurses?

    <p>To identify patient problems and evaluate treatment effectiveness</p> Signup and view all the answers

    Which of the following strategies is important for patient education related to medications?

    <p>Incorporating follow-up plans and medication administration instructions</p> Signup and view all the answers

    What is a potential consequence of chronic bleeding?

    <p>Anemia</p> Signup and view all the answers

    Which laboratory test is typically used to assess kidney function?

    <p>BUN</p> Signup and view all the answers

    What is indicated by low albumin levels in a patient?

    <p>Malnutrition and increased risk for complications</p> Signup and view all the answers

    Which imaging technique is most commonly associated with cancer detection?

    <p>PET scan</p> Signup and view all the answers

    What is the primary goal of cancer interventions mentioned?

    <p>To eradicate the cancer while preserving function</p> Signup and view all the answers

    What type of biopsy is preferred for certain types of cancer to reduce the risk of spreading?

    <p>Fine needle biopsy</p> Signup and view all the answers

    Which option represents a test used to evaluate for dehydration and urinary abnormalities?

    <p>Urinalysis</p> Signup and view all the answers

    Which biomarker is associated with the receptor type involved in cell growth regulation?

    <p>HER-2</p> Signup and view all the answers

    What is a key symptom indicating laryngeal trauma?

    <p>Subcutaneous emphysema</p> Signup and view all the answers

    When managing a fractured jaw with fixed occlusion, which is a critical teaching point?

    <p>Always have wire cutters available</p> Signup and view all the answers

    In the case of chronic sinusitis, which method should NOT be used daily to avoid worsening congestion?

    <p>Nasal decongestants</p> Signup and view all the answers

    Which of the following interventions is NOT recommended for treating nasopharyngitis in children?

    <p>Administering aspirin</p> Signup and view all the answers

    What is the immediate priority in managing laryngeal trauma?

    <p>Protect and maintain the airway</p> Signup and view all the answers

    What does the presence of raccoon eyes indicate in skull fractures?

    <p>Significant head trauma</p> Signup and view all the answers

    Which treatment option is typically employed for serious laryngeal trauma?

    <p>Vocal rest</p> Signup and view all the answers

    Which of the following represents a complication of untreated strep throat?

    <p>Acute glomerulonephritis</p> Signup and view all the answers

    What is a recommended intervention for managing hoarseness after proton beam therapy?

    <p>Recommend vocal rest</p> Signup and view all the answers

    Which of the following is a common side effect of proton beam therapy related to oral health?

    <p>Dry mouth (xerostomia)</p> Signup and view all the answers

    How might skin problems from proton beam therapy be managed?

    <p>Advise wearing loose clothing</p> Signup and view all the answers

    What type of therapy might be used in conjunction with radiation to treat head and neck cancers?

    <p>Immunotherapy</p> Signup and view all the answers

    Which of the following medications is most commonly included in chemotherapy regimens for head and neck cancers?

    <p>Cisplatin</p> Signup and view all the answers

    What could the use of chloraseptic sprays potentially benefit patients experiencing which side effect?

    <p>Sore throat</p> Signup and view all the answers

    Which of the following statements about biotherapy is true?

    <p>Targets specific elements of cancer cells</p> Signup and view all the answers

    What advice might be given to patients dealing with dry mouth due to treatment?

    <p>Incorporate ice chips and artificial saliva</p> Signup and view all the answers

    What is the recommended care regimen for stoma management in postoperative patients?

    <p>Clean with sterile saline and ensure stoma appears bright pink and shiny</p> Signup and view all the answers

    When providing care for a patient with a total laryngectomy, which nursing intervention is essential?

    <p>Encourage the patient to cough and deep breathe regularly</p> Signup and view all the answers

    What is a crucial consideration for a patient recovering from partial laryngectomy to prevent aspiration?

    <p>Teach the supraglottic method of swallowing</p> Signup and view all the answers

    For a patient using a PCA pump postoperatively, what is the expected course of pain management?

    <p>Switch to oral medications if pain is adequately controlled</p> Signup and view all the answers

    What is an important postoperative intervention regarding nutrition for a patient after surgery affecting the larynx?

    <p>Incorporate a specialized diet due to potential taste and smell changes</p> Signup and view all the answers

    Which of the following is a significant psychosocial consideration for patients after laryngectomy?

    <p>Potential impact on body image and self-esteem</p> Signup and view all the answers

    How often should graft and donor site evaluations be conducted post-surgery?

    <p>Every hour for up to 72 hours</p> Signup and view all the answers

    What is the best timeframe for administering acetylcysteine after an acetaminophen overdose to maximize treatment efficacy?

    <p>Within 8 hours of ingestion</p> Signup and view all the answers

    Which of the following factors is NOT typically associated with an increased risk of developing head and neck cancers?

    <p>Engaging in frequent physical exercise</p> Signup and view all the answers

    Which sign is the first visual indication of head and neck cancer?

    <p>Leukoplakia</p> Signup and view all the answers

    What type of virus is primarily responsible for viral nasopharyngitis?

    <p>Adenovirus</p> Signup and view all the answers

    Which of the following is a commonly recognized side effect of non-opioid antitussives when consumed in large amounts?

    <p>Distorted awareness and hallucinations</p> Signup and view all the answers

    What condition is characterized by mucus dripping from the nose, often referred to as 'runny nose'?

    <p>Rhinorrhea</p> Signup and view all the answers

    Which of the following treatments can be applied within 1 hour of an overdose to help mitigate the effects of the substance?

    <p>Activated charcoal</p> Signup and view all the answers

    What does the pathophysiology of head and neck cancers primarily involve?

    <p>Chronic irritation leading to abnormal cell collection</p> Signup and view all the answers

    What is the primary goal of teaching the family and patient about their tumor during the preoperative phase?

    <p>To facilitate self-management of their condition</p> Signup and view all the answers

    Which surgical procedure results in no voice and a permanent stoma?

    <p>Total laryngectomy</p> Signup and view all the answers

    What is a serious complication associated with carotid artery surgery that involves bright red blood oozing rather than spurting?

    <p>Carotid leak</p> Signup and view all the answers

    What should be monitored every hour for the first 24 hours postoperatively?

    <p>Airway and vital signs</p> Signup and view all the answers

    What is a potential risk when there is a perforation or breakdown of a surgical wound following laryngeal surgery?

    <p>Carotid artery damage</p> Signup and view all the answers

    During a neck dissection, which anatomical structures are typically removed?

    <p>Sternocleidomastoid muscle and surrounding soft tissue</p> Signup and view all the answers

    What action should not be taken if a patient experiences a carotid rupture during postoperative recovery?

    <p>Apply continuous direct pressure</p> Signup and view all the answers

    Which one of the following is a typical duration for the laryngectomy procedure?

    <p>8 hours or more</p> Signup and view all the answers

    Study Notes

    Nursing NGN NCLEX

    • The Nursing NGN (Next Generation) NCLEX is a computer adaptive test that assesses critical thinking, application of knowledge, and clinical judgment.
    • It focuses on patient-centered care, safety, and holistic care approaches.
    • It emphasizes higher-level cognitive skills beyond simply recalling information.
    • The NGN NCLEX utilizes a variety of question formats including multiple choice, fill-in-the-blank, select all that apply, and image-based questions.
    • Test-takers need to demonstrate understanding of complex patient situations, ethical considerations, and the application of evidence-based practice principles.

    Patient Education

    • Effective patient education empowers patients to actively participate in their care.
    • It involves providing information about the patient's condition, treatment plan, medications, and self-management strategies.
    • Considerations should be made for the patient's learning style, culture, literacy level, and health beliefs.
    • This includes clear explanations, use of visual aids, and active participation opportunities.
    • Important aspects of patient education include medication administration instructions and follow-up plans.

    Clinical Judgment

    • Clinical judgment is the process of making informed decisions about patient care based on the analysis of data and evidence.
    • Includes considering the patient's needs, physical condition, emotional state, values, and preferences.
    • Nurses demonstrate clinical judgment by identifying and prioritizing patient problems.
    • This involves using patient assessment findings, critical thinking, and knowledge, to develop and implement effective care plans.
    • Nurses need to consider ethical implications and safety issues related to clinical judgments.

    Patient Assessment

    • Patient assessment is the systematic process of collecting subjective and objective data about a patient's health status.
    • It involves a comprehensive evaluation of physical, mental, emotional, social and cultural factors.
    • Includes gathering information through history taking, physical examinations, and diagnostic tests.
    • Nurses use assessment information to identify patient problems, develop a care plan, and evaluate treatment effectiveness.
    • Includes accurate measurement of vital signs, and other elements specific to each patient's needs.

    Pharmacology

    • Pharmacology involves the study of drugs, their effects on the body, and their uses in treating diseases.
    • Nurses need to understand drug classifications, mechanisms of action, pharmacokinetics, and adverse reactions.
    • Nurses must calculate dosages accurately and administer medications safely.
    • They need to recognize potential drug interactions and teach patients about their medications, including potential side effects.
    • Knowledge of drug administration routes and how various factors affect drug metabolism are crucial.

    Infection Control

    • Infection control practices are essential for preventing and managing the spread of infections.
    • This includes hand hygiene, personal protective equipment (PPE) use, and environmental sanitation.
    • Understanding principles of pathogen transmission and infection prevention strategies are crucial.
    • Nurses need to follow established protocols for handling contaminated equipment, specimens, or patients.
    • Nurses play a significant role in educating patients and families about infection prevention techniques.

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    Description

    This quiz assesses your understanding of the Nursing NGN NCLEX exam, focusing on critical thinking, clinical judgment, and patient-centered care. You will encounter various question formats that test your knowledge on complex patient situations and evidence-based practices. Prepare to demonstrate your competency in nursing education and provide effective patient care.

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