Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions - Part 73

1. A client asks the nurse what risk factors increase the changes of getting skin cancer. The risk factors include all except:

A) light or fair complexion.
B) exposure to sun for great periods of time.
C) certain diet and foods.
D) history of bad sunburns.

2. To improve overall health, the nurse should place highest priority on assisting a client to make lifestyle changes for which of the following habits?

A) drinking a six-pack of beer each day
B) eating an occasional chocolate bar
C) exercising twice a week
D) using relaxation exercises to deal with stress

3. The gag reflex test assesses which cranial nerves?

A) IX and X
B) V and VII
C) IX and XII
D) V and X

4. How many temporary teeth should the nurse expect to find in a 5-year-old client - s mouth?

A) up to 10
B) up to 15
C) up to 20
D) up to 32

5. When assessing a client with early impairment of oxygen perfusion, such as pulmonary embolus, the nurse should expect to find restlessness and which of the following symptoms?

A) warm, dry skin
B) bradychardia
C) tachycardia
D) eupnea

1. Right Answer: C
Explanation: Conditions that increase risks for skin cancer are: light or fair complexion, history of having bad sunburns or scars from previous burns, personal or family history of skin cancer, frequently working or playing outdoors with exposure to the sun, exposure to X-rays or radiation, exposure to certain chemicals through work or hobbies (coal, pitch, asphalt, petroleum), repeated trauma or injury to an area resulting in scars, older than age 50, male gender, and living in a geographic location near the equator or at high altitudes. Ways to prevent skin cancer are avoiding exposure to the sun, wearing a hat to protect the face, avoiding all sun lamps, and using a sunscreen with a minimum of 15 sun protection factor (SPF) if exposure to the sun is unavoidable. Teaching clients how to recognize a potential problem involves inspecting the skin frequently; noting all birthmarks, freckles, and moles; and seeking medical assistance if any of the following are noted: change in color, change in shape, change in surface texture, change in size, change in the surrounding skin, or a new mole or a sore that does not heal.Health Promotion and Maintenance

2. Right Answer: A
Explanation: Health promotion is motivated by the desire to increase peoples well-being and health potential. The nurse promotes health by maximizing the clients own strengths. Identification and analysis of the clients strengths are a component of preventing illness, restoring health, and facilitating coping with disability or death.The nurse facilitates decisions about lifestyle that enhance ones quality of life and encourage acceptance of responsibility for ones own health. Health Promotion and Maintenance

3. Right Answer: A
Explanation: Gagging during the gag reflex test indicates that cranial nerves IX and X (the glossopharyngeal and vagus nerves) are intact. Health Promotion and Maintenance

4. Right Answer: C
Explanation: A child can have up to 20 temporary (deciduous or baby) teeth. The first tooth usually erupts by age 6 months and the last by age 30 months. All temporary teeth usually are shed between 6 and 13 years of age. Preventionand Early Detection of Disease

5. Right Answer: C
Explanation: The cardinal signs of respiratory problems and hypoxia are restlessness, diaphoresis, tachycardia, and cool skin.Bradycardia might occur much later in the process when the condition is severe. Eupnea is normal respirations in rate and depth. Physiological Adaptation

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