NCLEX-PN Exam Dumps - NCLEX Certification Questions and Answers

A loading or priming dose rapidly establishes a therapeutic plasma drug level. It can be calculated by multiplying the volume of distribution by the desired plasma drug concentration. A maintenance dose maintains a therapeutic level after the loading dose. It takes five drug half-lives to achieve steady state if no loading dose is given. Choice 3 is similar to a maintenance dose. Intravenous administration provides excellent drug bioavailability, but one dose will not achieve a therapeutic plasma level.Pharmacological Therapies

Rolling over occurs between 4 and 6 months of age. Sitting up occurs between 7 and 8 months, creeping between 9 and 10 months, and standing between 8 and 10 months.Health Promotion and Maintenance

Ingestion of chocolate can reduce lower esophageal sphincter (LES) pressure leading to reflux and clinical

symptoms of GERD. The other foods do not affect LES pressure.Basic Care and Comfort

This response is the most therapeutic because it allows the client to discuss his anxieties and fears with the nurse. The other responses do not allow for such a dialogue, so they are not as therapeutic.Reduction of Risk

Potential

Eggs are a complete protein. The remaining options are incomplete proteins.Health Promotion and

Maintenance

Microorganisms that infect CVADs are often coagulase-negative staphylococci, which can be eliminated by antibiotic administration through the catheter. If unsuccessful in eliminating the microorganism, the CVAD must be removed. CVAD use lessens the need for peripheral IV lines and thus the risk of infiltration. In this case, however, the antibiotics are given to eradicate microorganisms from the CVAD. CVAD use has the effect described in Choice 2, but in this case, the antibiotics are given through the CVAD to eliminate the infective agent. The route does not prevent an allergic reaction.Pharmacological Therapies

There are several guidelines for evaluating kinetic family drawings, including Choice 4. Effective nursing

actions include asking the child to explain what each family member is doing, encouraging him or her to tell as

much as possible about the drawing, noting physical intimacy or distance, noting placement of family members in

the drawing, noting facial expressions of family members and noting if they are facing each other or turned away.

Choice 1 is initial instruction, not evaluation. Only general encouragement should be given to avoid suggesting

themes to the child.Health Promotion and Maintenance

Somatizing means one experiences an emotional conflict as a physical symptom. Ashley manifests several

physical symptoms associated with severe anxiety. Acting out refers to behaviors such as anger, crying, laughter,

and physical or verbal abuse. Withdrawal is a reaction in which psychic energy is withdrawn from the environment

and focused on the self in response to anxiety. Problem-solving takes place when anxiety is identified and the

unmet need is met.Psychosocial Integrity

Obesity is defined by a BMI of 30 or more with no co-morbid conditions. It is calculated by utilizing a chart

or nomogram that plots height and weight. This client’s BMI is 35, indicating obesity. Goals of diet therapy are

aimed at decreasing weight and increasing activity to healthy levels based on a client’s BMI, activity status, and

energy requirements.Physiological Adaptation

To gain insight, the client needs to recognize causal events. The other activities focus on recognition of

anxiety.Psychosocial Integrity