Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions - Part 31

1. A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:

A) naloxone (Narcan).
B) labetalol (Normodyne).
C) neostigmine (Prostigmin).
D) thiothixene (Navane).

2. The greatest time savers when planning client care include all of the following except:

A) reacting to the crisis of the moment.
B) setting goals.
C) planning.
D) specifying priorities.

3. Common problems for supervisors include all of the following except:

A) the supervisor facilitates development of staff members.
B) the supervisor micromanages staff members.
C) the supervisor wants to control the style in which a staff member correctly performs a task.
D) the supervisor does not delegate.

4. What significant event occurs in the orientation phase of a nurse-client relationship?

A) establishment of roles
B) identification of transference phenomenon
C) placement of the client within the client - s family structure
D) client agreement that the nurse has the authority in the relationship

5. At what point in the nurse-client relationship should termination first be addressed?

A) in the working phase
B) in the termination phase
C) in the orientation phase
D) when the client initially brings up the topic

1. Right Answer: B
Explanation: Tolerance is the capacity to ingest an increasing amount of a substance without effect and the experience of decreased sensitivity to the substance. Tolerance can develop with long-term use of many drugs. Choice 1 is the dose required to produce a defined magnitude of drug effect. Choice 3 binds to a receptor and causes an action. Choice 4 is the maximal response produced by a drug. Pharmacological Therapies

2. Right Answer: A
Explanation: The greatest time-savers when planning client care are activities that facilitate focus and completion of priority items. Time-savers include setting goals, establishing priorities, planning tasks, delegating where appropriate, re-assessment, and ongoing evaluation of needs. Coordinated Care

3. Right Answer: A
Explanation: Facilitating the development of staff members is an important goal for a supervisor. Micromanagement, intolerance for individual differences in style, and inability to delegate all interfere with team building and overall effectiveness. Coordinated Care

4. Right Answer: B
Explanation: Transference phenomena are intensified in relationships with authority, such as physicians and nurses. Common positive transferences include desire for affection and gratification of dependency needs. Common negative transferences include hostility and competitiveness. These transferences must be recognized and resolved before growth and positive change can be undertaken in the working stage. Psychosocial Integrity

5. Right Answer: C
Explanation: The client has a right to know the parameters of the nurse-client relationship. If the relationship is to be time limited, the client should be informed of the number of sessions. If it is open-ended, the termination date is not known at the outset, and the client should know that this is an issue that is negotiated at a later date.Coordinated Care

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