Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions - Part 29

1. An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?

A) knowledge that elder abuse is rare
B) personal belief that abuse is deserved
C) lack of developmentally appropriate screening tools
D) fear of reprisal or further violence if the incident is reported

2. The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?

A) 'How did you get those bruises?'
B) 'Did someone grab you by your arms?'
C) 'Do you fall often?'
D) 'What did you bump against?'

3. Distribution of a drug to various tissues is dependent on the amount of cardiac output to each type of tissue. Which tissue would receive the highest amount of cardiac output and thus the highest amount of a drug?

A) skin
B) adipose tissue
C) skeletal muscle
D) myocardium

4. A syringe pump is a type of electronic infusion pump used to infuse fluids or medications directly from a syringe. This device is commonly used for:

A) solutions administered in obstetrics.
B) dilute antibiotics.
C) large volumes of IV solution.
D) the neonatal and pediatric populations.

5. A client with massive chest and head injuries is admitted to the ICU from the Emergency Department. All of the following are true except:

A) B.the physician in charge of the case is the only person allowed to decide whether organ donation can occur.
B) C.the client - s legally responsible party may make the decision for organ donation for the donor if the client is unable to do so.
C) D.the organ procurement organization makes the decision regarding which organs to harvest.
D)

1. Right Answer: D
Explanation: Barriers to reporting elder abuse include victim shame, fear of reprisals, fear of loss of caregiver, and lack of knowledge of agencies that provide services. Many elders fear that reporting abuse results in their placement in long-term care because the current caregiver is the abuser. Choices 1 and 3 are incorrect. Choice 2 might be true but is not the best choice. Psychosocial Integrity

2. Right Answer: B
Explanation: Using a direct approach is best when asking about suspected abuse. Clients are reluctant to report abuse because of shame and fear of reprisal. PsychosocialIntegrity

3. Right Answer: D
Explanation: Highly perfused tissue includes all vital organs: the brain, heart, kidneys, adrenal glands, and liver. Choices 1, 2, and 3 are incorrect because the skin and adipose tissue are poorly perfused, while the skeletal muscle is better perfused. Pharmacological Therapies

4. Right Answer: D
Explanation: Small volumes of medication or fluids are delivered and sometimes at slow rates to neonates and pediatric clients. The syringe pump allows precise infusion of small volumes. Choice 1 is incorrect because a syringe pump can be used in almost any setting, but is not generally for adult clients. Choices 2 and 3 are incorrect because large volumes of fluids are not administered with a syringe pump. Pharmacological Therapies

5. Right Answer: C
Explanation: The clients legally responsible party may make the decision for organ donation if the client is unable to do so. The donor (or legally responsible party for the donor), the physician, and the organ-procurement organization are all involved in the process regarding whether organ donation is appropriate for a specific donor.Coordinated Care

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