Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions - Part 17

1. Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?

A) intrauterine device (IUD)
B) Norplant
C) oral contraceptives
D) vaginal sponge

2. Which of the following is the primary force in sex education in a child - s life?

A) school nurse
B) peers
C) parents
D) media

3. Which of the following nursing actions is most effective when evaluating a kinetic family drawing?

A) telling the child to draw their family doing something
B) offering specific suggestions of what to include in the drawing
C) discouraging the child from talking about the drawing
D) noting the omission of any family members

4. All of the following factors, when identified in the history of a family, are correlated with poverty except:

A) high infant mortality rate.
B) frequent use of Emergency Departments.
C) consultation with folk healers.
D) low incidence of dental problems.

5. A client is having a seizure; his blood oxygen saturation drops from 92% to 82%. What should the nurse do first?

A) Open the airway.
B) Administer oxygen.
C) Suction the client.
D) Check for breathing.

1. Right Answer: D
Explanation: The vaginal sponge is a barrier method of contraception that, when used with foam or jelly contraception, reduces the transmission of HIV and other STDs as well as reducing the risk of pregnancy. IUDs, Norplant, and oral contraceptives can prevent pregnancy but not the transmission HIV and STDs. Clients using the contraceptive methods in Choices 1, 2, and 3 should be counseled to use a chemical or barrier contraceptive to decrease transmission of HIV or STDs. HealthPromotion and Maintenance

2. Right Answer: C
Explanation: Parents are the primary force in sex education in a childs life. The school nurse is involved with formal sex education and counseling. Peers become more important in sex education during adolescence but might lack correct information. The media play a powerful role in what children learn about sex through movies,TV, and video games. Health Promotion and Maintenance

3. Right Answer: D
Explanation: 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 andMaintenance

4. Right Answer: D
Explanation: Dental problems are prevalent because of the lack of preventive care and access to care. High infant mortality is one of the most significant problems correlated with poverty. Pregnant women who do not have access to care might come to the Emergency Department when in labor. Those in poverty are likely to useEmergency Departments because they may not be turned away. Those in poverty might also turn to folk healers or other persons in their community for care who might be easier to access and might not demand payment. Health Promotion and Maintenance

5. Right Answer: A
Explanation: The nurse needs to open the airway first when the oxygen saturation drops. The other actions might be appropriate, but the airway must be patent. Reduction ofRisk Potential

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