Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions - Part 75

1. The three major sequential maturational crises for females include:

A) puberty, pregnancy, and menopause.
B) death of a spouse, menopause, and childbirth.
C) rape, divorce, and menarche.
D) dating, engagement, and separation.

2. A female having her first child is experiencing which type of crisis event?

A) situational
B) maturational
C) adventitious
D) reactive

3. Nursing care for a client undergoing chemotherapy includes assessment for signs of bone marrow depression. Which finding accounts for some of the symptoms related to bone marrow depression?

A) erythrocytosis
B) leukocytosis
C) polycythemia
D) thrombocytopenia

4. A woman is in the active phase of labor. An external monitor has been applied, and a fetal heart deceleration of uniform shape is observed, beginning just as the contraction is under way and returning to the baseline at the end of the contraction. Which of the following nursing actions is most appropriate?

A) Administer O2.
B) Turn the client on her left side.
C) Notify the physician.
D) No action is necessary.

5. A serious complication of a total hip replacement is displacement of the prosthesis. What is the primary sign of displacement?

A) pain on movement and weight bearing
B) hemorrhage
C) affected leg appearing 1 - 2 inches longer
D) edema in the area of the incision

1. Right Answer: A
Explanation: The three major sequential maturational crises affecting females are puberty, pregnancy, and menopause. These are life events that have been studied by many researchers and are considered the major events in a womans life. Puberty is the onset menarche. Pregnancy is a turning point in ones life from which there is no return. Menopause is the cessation of menses. The nurse has the responsibility to assess, plan, implement appropriate concepts to facilitate effective functioning, and enhance growth and development. Choices 2, 3, and 4 are not sequential maturational crises. Psychosocial Integrity

2. Right Answer: B
Explanation: A maturational crisis occurs when an individual arrives at a new stage of development and must develop new coping strategies. Choice 1 arises from sources external to individuals. Choice 3 occurs when some event external to a person (floods, hurricanes) disrupts his or her coping behaviors. Choice 4 is not a crisis intervention. Psychosocial Integrity

3. Right Answer: D
Explanation: Thrombocytopenia is an abnormal decrease in the number platelets, which results in bleeding tendencies. Erythrocytosis is an abnormal increase in the number of circulating red blood cells. Leukocytosis is an increase in the number of white blood cells in the blood. Polycythemia is also an excess of red blood cells and is a synonym for erythrocytosis. With chemotherapy there is a decrease in red and white blood cells, not an increase. Physiological Adaptation

4. Right Answer: D
Explanation: It is an early deceleration as a result of head compression, and at this time no action is necessary. Close observation of the mother and baby is needed.Physiological Adaptation

5. Right Answer: A
Explanation: Pain on movement and weight bearing indicates pressure on the nerves or muscles caused by the dislocation. Other symptoms of dislocation include an inability to bear weight and a shortening of the affected leg. Edema is not a primary sign of displacement. Physiological Adaptation

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