Published - Thu, 23 Feb 2023
NCLEX-PN Exam Questions - Part 67
1. The nurse is working with families who have been displaced by a fire in an apartment complex. What is the priority intervention during the initial assessment?
A) Provide a liaison to meet housing needs.
B) Attentively listen when clients describe their feelings.
C) Offer nurturing support for clients who are confused by the events.
D) Provide structure for clients exhibiting moderate to severe anxiety.
2. The nurse suspects an elderly client has been the victim of abuse. The client denies abuse and declines assistance. The nurse - s next action should be to:
A) do nothing; the client has the right to refuse treatment.
B) report the incident to the police.
C) arrange an appointment with the client - s next of kin.
D) educate the client about available services.
3. When questioning an elder about suspected abuse, the nurse should keep the questions:
A) nonjudgmental.
B) probing.
C) confrontational.
D) indirect.
4. The primary organ for drug elimination is the:
A) skin.
B) lung(s).
C) kidney(s).
D) liver.
5. A 50 milliliter (ml) bolus of normal saline fluid is ordered by the physician. The physician wants it to infuse in 30 minutes. The nurse should set the pump rate at:
A) 100 ml per hour for one hour.
B) 60 ml per hour for one-half hour.
C) 120 ml per hour for one hour.
D) 50 ml per hour for one hour.
A) Provide a liaison to meet housing needs.
B) Attentively listen when clients describe their feelings.
C) Offer nurturing support for clients who are confused by the events.
D) Provide structure for clients exhibiting moderate to severe anxiety.
2. The nurse suspects an elderly client has been the victim of abuse. The client denies abuse and declines assistance. The nurse - s next action should be to:
A) do nothing; the client has the right to refuse treatment.
B) report the incident to the police.
C) arrange an appointment with the client - s next of kin.
D) educate the client about available services.
3. When questioning an elder about suspected abuse, the nurse should keep the questions:
A) nonjudgmental.
B) probing.
C) confrontational.
D) indirect.
4. The primary organ for drug elimination is the:
A) skin.
B) lung(s).
C) kidney(s).
D) liver.
5. A 50 milliliter (ml) bolus of normal saline fluid is ordered by the physician. The physician wants it to infuse in 30 minutes. The nurse should set the pump rate at:
A) 100 ml per hour for one hour.
B) 60 ml per hour for one-half hour.
C) 120 ml per hour for one hour.
D) 50 ml per hour for one hour.
1. Right Answer: A
Explanation: After physical needs of housing, clothing and food are met, the nurse should focus on assisting clients to manage the psychological effects of loss. PsychosocialIntegrity
2. Right Answer: D
Explanation: Although clients do have the right to refuse treatment, the nurse should remain nonjudgmental and inform the client of available services. Frequently elders are not aware of existing programs. Psychosocial Integrity
3. Right Answer: A
Explanation: Questions about suspected should be direct and nonconfrontational. Indirect questions encourage denial. Psychosocial Integrity
4. Right Answer: C
Explanation: Most drugs are excreted in the urine, either as the parent compound or as drug metabolites. Relatively few drugs are excreted in sweat. Some volatile gases are excreted with expiration. The liver primarily metabolizes drugs. Some of them are excreted in bile, especially those with a molecular weight above 300.Pharmacological Therapies
5. Right Answer: A
Explanation: One hundred ml in one hour equals 50 ml in 30 minutes, which is what the physician prescribed. Choice 2 is 10 ml more than the physician prescribed for 30 minutes. Choice 3 is the same as Choice 2; it is 10 ml more than the physician prescribed for 30 minutes. Choice 4 only provides 25 ml over 30 minutes, or half the volume prescribed. Pharmacological Therapies
Explanation: After physical needs of housing, clothing and food are met, the nurse should focus on assisting clients to manage the psychological effects of loss. PsychosocialIntegrity
2. Right Answer: D
Explanation: Although clients do have the right to refuse treatment, the nurse should remain nonjudgmental and inform the client of available services. Frequently elders are not aware of existing programs. Psychosocial Integrity
3. Right Answer: A
Explanation: Questions about suspected should be direct and nonconfrontational. Indirect questions encourage denial. Psychosocial Integrity
4. Right Answer: C
Explanation: Most drugs are excreted in the urine, either as the parent compound or as drug metabolites. Relatively few drugs are excreted in sweat. Some volatile gases are excreted with expiration. The liver primarily metabolizes drugs. Some of them are excreted in bile, especially those with a molecular weight above 300.Pharmacological Therapies
5. Right Answer: A
Explanation: One hundred ml in one hour equals 50 ml in 30 minutes, which is what the physician prescribed. Choice 2 is 10 ml more than the physician prescribed for 30 minutes. Choice 3 is the same as Choice 2; it is 10 ml more than the physician prescribed for 30 minutes. Choice 4 only provides 25 ml over 30 minutes, or half the volume prescribed. Pharmacological Therapies
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