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NCLEX National Council Licensure Examination(NCLEX-PN) Sample Questions (Q546-Q551):

NEW QUESTION # 546
All of the following are common reasons that nurses are reluctant to delegate except __________.

A. confidence in subordinates
B. desire to maintain authority
C. getting trapped in the "I can do it better myself" mindset
D. lack of self-confidence

Answer: A

Explanation:
Section: Safe and Effective Care Environment
Explanation:
If a delegator has confidence in his subordinates and feels that a task will be performed correctly, he is more likely to delegate.
Reasons that delegators are reluctant to delegate include their own lack of confidence, fear of losing authority or personal satisfaction, and feeling that the task can only be performed correctly if they do it themselves.

NEW QUESTION # 547
Rehabilitation services begin:

A. after the client's physical condition stabilizes.
B. when the client enters the health care system.
C. when the client is discharged from the hospital.
D. after the client requests rehabilitation services.

Answer: B

Explanation:
Rehabilitation services should begin when the client enters the health care system.Health Promotion and Maintenance

NEW QUESTION # 548
A client and his family facing the end stage of a terminal illness might be best served by __________.

A. a rehabilitation center
B. Hospice
C. a crisis intervention center
D. an extended care facility

Answer: B

Explanation:
Section: Health Promotion and Maintenance
Explanation:
Hospice has the belief that more humanized alternative care for dying clients is needed than is being provided in hospitals, which focus mostly on medical cures.
No matter where the care is delivered, Hospice provides a specialized interdisciplinary team of health care professionals who work together to manage client care.

NEW QUESTION # 549
The chemotherapeutic DNA alkylating agents such as nitrogen mustards are effective because they:

A. are cell-cycle-specific agents.
B. are used to treat multiple types of cancer.
C. cross-link DNA strands with covalent bonds between alkyl groups on the drug and guanine bases on DNA.
D. have few, if any, side effects.

Answer: C

Explanation:
Explanation/Reference:
Explanation:
Alkylating agents are highly reactive chemicals that introduce alkyl radicals into biologically active molecules and thereby prevent their proper functioning, replication, and transcription. Choice 2 is incorrect because alkylating agents have numerous side effects including alopecia, nausea, vomiting, and myelosuppression. Choice 3 is incorrect because nitrogen mustards have a broad spectrum of activity against chronic lymphocytic leukemia, non-Hodgkin's lymphoma, and breast and ovarian cancer, but they are effective chemotherapeutic agents because of DNA crosslinkage. Choice 4 is incorrect because alkylating agents are non-cell-cycle-specific agents. Pharmacological Therapies

NEW QUESTION # 550
Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with __________.

A. an increase of calcium in the diet
B. an increase of protein in the diet
C. iron, folic acid, and B12
D. vitamins A and C

Answer: C

Explanation:
Section: Physiological Integrity
Explanation:
The kidneys of a client in renal failure produce no erythropoietin, a hormone necessary for RBC production.
Erythropoietin can be given as replacement, but the client needs adequate iron, folate, and B12 to increase the effectiveness of EPO.
Choice "an increase of protein in the diet" is not necessary for RBC production and can increase uremia.
Choices "vitamins A and C" and "an increase of calcium in the diet" are not necessary for RBC production.

NEW QUESTION # 551
......

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NCLEX-PN Answers Free, Detail NCLEX-PN Explanation

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NCLEX National Council Licensure Examination(NCLEX-PN) Sample Questions (Q546-Q551):

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