Published - Thu, 23 Feb 2023
NCLEX-PN Exam Questions - Part 93
1. Nonpharmacological pain management involves all of the following except:
A) hypnosis alone.
B) psychological care, including support groups.
C) physical and psychological modalities.
D) pain-reducing drugs only.
2. The nurse is using Cognitive-Behavioral methods of pain control and knows that the these methods can be expected to do all the following except:
A) completely relieve all pain.
B) provide benefit by restoring the client - s sense of self-control.
C) help the client to control symptoms.
D) help the client actively participate in his or her own care.
3. Which is an appropriate outcome for the nursing diagnosis of Body Image Disturbance for a client with anorexia nervosa?
A) The client verbalizes knowledge of a maintenance diet.
B) The client demonstrates assertiveness with family.
C) The client verbalizes her body size accurately.
D) The client demonstrates control of obsessive behaviors.
4. Which type of diet should the nurse provide to help a client who has major burns maintain a positive nitrogen balance?
A) high protein
B) high carbohydrate
C) low carbohydrate
D) low protein
5. As part of the teaching plan for a client with type I diabetes mellitus, the nurse should include that carbohydrate needs might increase when:
A) an infection is present.
B) there is an emotional upset.
C) a large meal is eaten.
D) active exercise is performed.
A) hypnosis alone.
B) psychological care, including support groups.
C) physical and psychological modalities.
D) pain-reducing drugs only.
2. The nurse is using Cognitive-Behavioral methods of pain control and knows that the these methods can be expected to do all the following except:
A) completely relieve all pain.
B) provide benefit by restoring the client - s sense of self-control.
C) help the client to control symptoms.
D) help the client actively participate in his or her own care.
3. Which is an appropriate outcome for the nursing diagnosis of Body Image Disturbance for a client with anorexia nervosa?
A) The client verbalizes knowledge of a maintenance diet.
B) The client demonstrates assertiveness with family.
C) The client verbalizes her body size accurately.
D) The client demonstrates control of obsessive behaviors.
4. Which type of diet should the nurse provide to help a client who has major burns maintain a positive nitrogen balance?
A) high protein
B) high carbohydrate
C) low carbohydrate
D) low protein
5. As part of the teaching plan for a client with type I diabetes mellitus, the nurse should include that carbohydrate needs might increase when:
A) an infection is present.
B) there is an emotional upset.
C) a large meal is eaten.
D) active exercise is performed.
1. Right Answer: D
Explanation: All physical and psychosocial therapies can be used concurrently with drugs and other modalities to manage pain. These interventions can be carried out by the nurse with the client and family. Basic Care and Comfort
2. Right Answer: A
Explanation: These interventions (strategies) help the client in all areas of client well-being. Focusing on perception and thought, cognitive techniques are designed to influence how one interprets events and bodily sensations. Basic Care and Comfort
3. Right Answer: C
Explanation: Part of the problem for anorexic clients is an altered view of their body appearance (visualizing themselves as fat even when they are emaciated). Choice 1 involves a knowledge deficit. Choice 2 involves possible resolution of family-dynamic issues. Choice 4 involves psychological adaptation. Basic Care and Comfort
4. Right Answer: A
Explanation: Clients with burns are hypermetabolic and require increased protein levels to maintain a positive nitrogen balance. Choices 2 and 3 are incorrect; carbohydrate levels do not help clients to meet this goal. Choice 4 is incorrect; a client with major burns requires a high-protein diet. Basic Care and Comfort
5. Right Answer: D
Explanation: Active exercise increases insulin sensitivity, thus lowering blood glucose levels. Additional carbohydrates might be needed to balance the usual insulin dose. All of the other choices increase blood glucose levels. Basic Care and Comfort
Explanation: All physical and psychosocial therapies can be used concurrently with drugs and other modalities to manage pain. These interventions can be carried out by the nurse with the client and family. Basic Care and Comfort
2. Right Answer: A
Explanation: These interventions (strategies) help the client in all areas of client well-being. Focusing on perception and thought, cognitive techniques are designed to influence how one interprets events and bodily sensations. Basic Care and Comfort
3. Right Answer: C
Explanation: Part of the problem for anorexic clients is an altered view of their body appearance (visualizing themselves as fat even when they are emaciated). Choice 1 involves a knowledge deficit. Choice 2 involves possible resolution of family-dynamic issues. Choice 4 involves psychological adaptation. Basic Care and Comfort
4. Right Answer: A
Explanation: Clients with burns are hypermetabolic and require increased protein levels to maintain a positive nitrogen balance. Choices 2 and 3 are incorrect; carbohydrate levels do not help clients to meet this goal. Choice 4 is incorrect; a client with major burns requires a high-protein diet. Basic Care and Comfort
5. Right Answer: D
Explanation: Active exercise increases insulin sensitivity, thus lowering blood glucose levels. Additional carbohydrates might be needed to balance the usual insulin dose. All of the other choices increase blood glucose levels. Basic Care and Comfort
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