NCLEX-PN Exam Questions - Part 42

1. Right Answer: D
Explanation: Testicular exams should be performed after a warm shower or bath to relax the scrotum. Testicular exams should be performed on a monthly basis by all men beginning at about age 15. Reddening or darkening of the scrotum is not normal finding and should be reported to a physician. Physiological Adaptation

2. Right Answer: C
Explanation: All nurses should be concerned with preventing the transmission of microorganisms to themselves as well as to others. One way to accomplish this goal is by asepsis. Nursing practice focuses on providing a safe and therapeutic environment to protect clients, family members, and health care providers from acquiring infections. Safety and Infection Control

3. Right Answer: A
Explanation: If a woman is sensitized to the Rh factor, it poses a threat to any Rh-positive fetus she delivers. The nurse needs to provide emotional support to help the family deal with the infants condition, which might involve a host of conditions that could lead to death or marked neurological damage. RhoGam is never given to a woman already sensitized. If not previously sensitized, MICRhoGam (a smaller dose of Rh immune globulin) is given after an abortion or ectopic pregnancy to prevent sensitization. If not sensitized, RhoGam is given to the woman within 72 hours of delivery. Rh-immune globulin is never given to the newborn. To determine if sensitization has occurred, an Indirect Coombs is drawn on the mother to measure the number of Rh-positive antibodies. Health Promotion andMaintenance

4. Right Answer: C
Explanation: Most women who relinquish their infants at birth have come to that decision with a great deal of love and pain. They have made plans in advance. The nurse needs to first provide them with opportunities to express their feelings that might include grief, loneliness, and guilt. A referral for grief counseling might be appropriate if no other support system exists or the mother indicates that she wants assistance working through her grief. If the nurse assesses that the grief process is abnormal, a referral is also appropriate. The mother has probably already made a decision about whether or not she wants to see her baby. The nurse should ask her and make arrangements for that to happen if the mother requests it. Seeing the baby might aid in the grief process. Until relinquishment occurs, this is the mothers baby and she should be allowed to see it as often as she wants. The mother does have the right to change her mind until final legal arrangements are made. But suggesting this option might lead her to think that the nurse believes she shouldnt relinquish her baby. Health Promotion andMaintenance

5. Right Answer: B
Explanation: Oral iron preparations are often used to treat clients who have iron deficiency anemia to regain a positive iron balance. These preparations need to be supplemented with adequate dietary intake of iron. It can take 23 weeks to see improvement and up to 610 months to return to a stable iron level after a deficiency exists. The most common adverse effects associated with oral iron intake are related to direct GI upset, anorexia, nausea, vomiting, diarrhea, dark stools, and constipation. Nursing comfort measures include taking the preparations with meals, teaching about black stools, encouragement, and proper nutrition.Physiological Adaptation