Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 57
Questions 1. An 8-year-old Asian child is being examined during a school screening. The nurse notices small bruises on the anterior and posterior ribs. The nurse should ask the child:A) if the family practices coining.B) who hit him.C) if the child has fallen.D) how long the abuse has been occurring.2. Incidences of child abuse apperar to be higher in the African-American community and might be explained by:A) the increased number of African Americans viewing violence on television.B) more single-parent households in African- American communities.C) stricter child-rearing practices in African- American households.D) a higher occurrence of rage in African Americans.3. When teaching parents how their children learn sex role identification, the nurse should include which of the following statements?A) Sex role identification begins in infancy.B) Sex role identification begins in the preschool years.C) Sex role identification begins during the school-age years.D) Sex role identification begins during early adolescence.4. When working with multicultural populations, the nurse should consider all of the following when planning care for a client with an altered sexuality pattern except:A) some members of the Hispanic and Native- American cultures are very open when discussing sexuality.B) some cultures view the postpartum period as a state of impurity.C) some women in the African-American culture view childbearing as a validation of their femaleness.D) some Native-American women believe monthly menstruation maintains physical well-being and harmony.5. Which of the following client groups should the nurse recognize as the fastest-growing segment of the homeless population?A) single, adult menB) single mothers with 2 or 3 childrenC) runaway adolescentsD) single, adult women Right Answer and Explanation: 1. Right Answer: AExplanation: The nurse must be aware of cultural practices that resemble child abuse. These practices include coining, cupping, and fallen fontanella. Coining and cupping are thought to draw infections from the body. Coining involves rubbing a heated coin on the chest and torso and might cause bruising. Cupping uses heated glasses that can produce erythematous and ecchymotic rounded lesions or linear streaks on the body from the suction. Fallen fontanella involves turning a child upside down to correct a depressed fontanelle; it can cause vomiting, diarrhea, and dehydration in infants. Retinal hemorrhages can also occur, and sometimes Shaken-Baby Syndrome is erroneously diagnosed. Psychosocial Integrity2. Right Answer: BExplanation: Child abuse is higher in households with lower socioeconomic status and single parents. The increased incidence might be due to increased stress and fewer support systems. Psychosocial Integrity3. Right Answer: AExplanation: Sex role identification begins during infancy. Infants can identify body parts by the end of the first year. Preschoolers frequently engage in masturbation and sex play with peers. School-age children continue to gain awareness of their sexual identity. During this time they might continue to masturbate and engage in sex play. They might add behaviors such as hugging and kissing members of the opposite sex. Adolescent sex role identification is largely influenced by sexual maturation and trying out or assuming a sex role. Health Promotion and Maintenance4. Right Answer: AExplanation: Many cultures (including the Hispanic and Native-American cultures) are sometimes hesitant to discuss sexuality. Some Navajos, Hispanics, and Orthodox Jews view the postpartum period as a state of impurity and might seclude women as long as they are bleeding. The seclusion is usually ended with a ritual bath. Many white teenage girls approve of the prevention of pregnancy, and many African-American teenage girls value pregnancy. Many Native-American women believe in the importance of monthly menstruation to maintain physical wellbeing and harmony. Health Promotion and Maintenance5. Right Answer: BExplanation: Single mothers with two or three children are the fastest-growing segment of the homeless population. The majority of the children are under the age of five, and the total number of children who are homeless account for more than one-third of the homeless population in the United States. In the past, single adults were the largest group in the homeless population, with more men than women being homeless. Runaway adolescents account for another group of homeless children.Many are victims of abuse or long-term family or school problems. HealthPromotion and Maintenance .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 58
Questions 1. Which of the following strategies should the nurse include when planning care for children of migrant workers?A) Delay immunization because of acute illness.B) Provide parents with copies of medical records.C) Schedule preventive services at acute illness visits.D) Stress the importance of using one primary care provider.2. When assessing a client with amytrophic lateral sclerosis (ALS), the nurse should expect which of the following findings?A) mental confusionB) muscular weaknessC) sensory lossD) emotional liability3. A Hispanic client brings her father to the clinic because he is becoming more forgetful. He is diagnosed with Alzheimers disease. The woman tells the nurse that she wants to try ginkgo biloba for her father, before using prescription medications. Which of the following is an appropriate response by the nurse?A) 'It is wiser to start a prescription.'B) 'That herb won - t do your father any good.'C) 'You can - t expect an herb to treat Alzheimer - s.'D) 'I will let the physician know of your wishes.'4. Which of the following statements by an adult child of a client with late-stage Alzheimer - s disease indicates a need for further teaching by the nurse?A) 'I should provide a regular schedule for toileting.'B) 'I should talk to my father less because he can - t communicate.'C) 'I should give my father oral care after every meal and bedtime.'D) 'I should assist my father with eating and drinking.'5. An Asian family has an elderly member with latestage Alzheimers disease. The physician has recommended placement in a long-term care facility, but the family refuses. Which of the following is an appropriate response to the family by the nurse?A) 'You really need to listen to what the physician says.'B) 'You will get too tired to take care of him at home.'C) 'What can I do to assist you to care for him at home?'D) 'You are too busy to be taking care of an elderly person.' Right Answer and Explanation: 1. Right Answer: BExplanation: Migrant workers should be provided with the medical records and immunization records for their children, including growth charts. The parents should also be encouraged to take those records with them to every health care visit, including Emergency Department visits. It is important to provide immunizations even when the child is there for an acute illness because preventive care is often not obtained. Preventive services should also be provided, not scheduled, when a child presents for an acute illness. Using a single primary care provider is not an option for most migrant families. The nurse should ask the parents about where they are going next and give them the name, address, and phone numbers of providers there. Health Promotion and Maintenance2. Right Answer: BExplanation: Clients with ALS have progressive muscular weakness and wasting. However, the mind remains clear and sharp, and there is no sensory loss. There might be periods of grieving, but usually not emotional liability. Reduction of Risk Potential3. Right Answer: DExplanation: The culturally sensitive response is to notify the physician of the family members wishes and to determine whether it is feasible. Ginkgo biloba has been shown to be of some benefit in treating dementia. The other statements are not culturally sensitive. Reduction of Risk Potential4. Right Answer: BExplanation: Even though an Alzheimers client might not be able to talk or communicate his needs, the family should still communicate through talking and touching. The other statements are correct and indicate adequate understanding. Reduction of Risk Potential5. Right Answer: CExplanation: This is the only culturally sensitive statement. Many Asian cultures have a high respect for elders, and members of these cultures might not consider placement in a long-term care facility. This is because they feel it is more respectful for them to care for the family member at home. The nurse might be able to assist the family by determining what community resources are available to assist them. Reduction of Risk Potential .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 59
Questions 1. Which of the following conditions has a severe complication of respiratory failure?A) Bell - s palsyB) Guillain-Barré syndromeC) trigeminal neuralgiaD) tetanus2. Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. When the nurse who was not promoted first read the memo and learned that the other nurse had received the promotion, she left the room in tears. This behavior is an example of:A) conversion.B) regression.C) introjection.D) rationalization.3. When a client has a chest drainage system in place, where should the system be placed?A) above the client - s headB) at the client - s shouldersC) at the level of the chestD) below the level of the chest4. A client with a pleural drainage system to suction has gentle bubbling of the water seal. What should the nurse do?A) Notify the physician.B) Clamp the chest tube.C) Replace the system.D) Document the finding.5. A visitor accidentally knocks over a plastic pleural drainage system connected to a client, and it cracks. What should the nurse do first?A) Observe the client - s response.B) Notify the physician.C) Change the drainage system.D) Observe for leaks. Right Answer and Explanation: 1. Right Answer: BExplanation: Guillain-Barr syndrome has a severe complication of respiratory failure. The remaining choices are peripheral nerve conditions, like Guillain-Barr. However, they do not lead to such a severe complication. Reduction of Risk Potential2. Right Answer: BExplanation: Crying is a regressive behavior. The ego returned to an earlier, comforting, and less-mature way of behaving in the face of disappointment. Conversion involves the transformation of anx3. Right Answer: DExplanation: A chest drainage system should be placed below the level of the clients chest so that the drainage flows out of the chest into the system. The remaining choices are too high and do not allow fluid to drain out of the chest. Reduction of Risk Potential4. Right Answer: DExplanation: Gentle bubbling is a normal finding for the client who has a pleural drainage system to suction, so it simply needs to be documented. If the bubbling becomes vigorous, it could indicate a leak, which the nurse needs to investigate. The remaining choices are not necessary. Reduction of Risk Potential5. Right Answer: CExplanation: If a crack is seen in a pleural drainage system, it should be changed immediately. The remaining choices can be performed later. Reduction of Risk Potential .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 60
Questions 1. A client with a diagnosis of Schizophrenia has been released from an acute care setting. The client had a prolonged recovery from relapse. One of the parents says to the discharge nurse, 'I do not understand what is going on. The hospital said she was better, but all she does is sit around all day and smoke. We cannot get her to go to the vocational training you arranged.' The nurse recognizes that more teaching is needed about:A) the pathophysiology and acting out behaviors of schizophrenia.B) support groups that can help the parents release their feelings of frustration.C) the prolonged recovery time and depressive effects of medicines to prevent relapse.D) motivational techniques that are effective in clients with schizophrenia.2. A nurse is teaching a group of clients with a diagnosis of Schizophrenia who are nearing discharge from a residential care facility. An essential topic to include is:A) pathophysiology of the disease and expected symptoms.B) how to recognize and manage symptoms of relapse.C) the need to take extra medication when feeling stressed.D) the importance of contact with follow-up care daily.3. An adolescent female reports being raped at a party where alcohol was served. The client admits to drinking alcohol before being raped by an acquaintance. The nurse should:A) inform the client that because she is underage, she is at fault for attending a party where alcohol was served.B) ask the client if anyone witnessed the event because the client was intoxicated and might not remember correctly.C) inform the client that it was not her fault, and support the client through the physical examination.D) question whether the woman had consensual sex and now just feels guilty.4. The nurse and a colleague are on the elevator after their shift, and they hear a group of health caregivers discussing a recent client scenario. Which client right might be breached?A) right to refuse treatmentB) right to continuity of careC) right to confidentialityD) right to reasonable responses to requests5. The power a nurse exerts when he or she works to accomplish goals and effect change in an agency or in policy is considered what type of power?A) politicalB) personalC) positionalD) professional Right Answer and Explanation: 1. Right Answer: CExplanation: The nurse conducting discharge teaching must stress the lengthy recuperation process with emphasis on the sedative qualities of the medication used to prevent relapse. Support groups are useful for caregivers. The emphasis during recuperation is on maintaining nutrition and hygiene. Psychosocial Integrity2. Right Answer: BExplanation: Clients are usually aware of the symptoms that indicate relapse is occurring. The client needs to know how to find a safe environment and to seek help. The first two stages of relapse are more difficult to recognize because they do not present symptoms that indicate psychosis. Initially, the client feels anxious and overwhelmed, and might become withdrawn. This is the crucial period to intervene. The client needs to go to a safe environment with someone who is trusted, avoid negative people, and decrease stimuli and stress. Psychosocial Integrity3. Right Answer: CExplanation: Acquaintance rape remains a controversial topic because of lack of agreement on the definition of consent. Most acquaintance rapes take place in either the victims or the assailants home or apartment. Most victims of acquaintance rape inform someone close to them, but less than 30% report the incidence to the authorities. Survivors of acquaintance rape report similar levels of depression, anxiety, complications in subsequent relationships, and difficulty attaining prerape levels of sexual satisfaction to what survivors of stranger rape report. Coping is more difficult for victims of acquaintance rape if others fail to recognize that the emotional impact is just as serious. Psychosocial Integrity4. Right Answer: CExplanation: The right to confidentiality of client information might be breached when client care situations are discussed in public areas or without regard to maintaining the information as private and confidential. The other rights listed have not been breached in this instance. Coordinated Care5. Right Answer: AExplanation: Political power results from ones ability to work within systems, agencies, or through policy to affect change. Personal power is based on ones charisma and self- confidence and is often found in informal leadership situations. Positional power is based on designated authority in a legitimized position within which the power is exercised. Professional power is based on ones professional skills and abilities resulting from ones recognized expertise in an area of practice. CoordinatedCare .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 61
Questions 1. While walking in the hallway of an acute care unit of the hospital, the nurse overhears the change of shift report. The nurse should:A) make the charge nurse on the unit aware of the situation so that he or she can take the necessary steps to maintain the confidentiality of the information being reported.B) disregard the information because it changes quickly on the acute care unit and is outdated within 2 - 3 hours anyway.C) return to his or her own unit and not disclose that confidential information has been overheard.D) ignore the situation.2. In the process of an annual physical exam, a client is diagnosed with Benign Prostatic Hypertrophy (BPH). This client is likely to have a consult with which type of physician?A) gynecologistB) physiatristC) urologistD) proctologist3. A nurse discharge planner is preparing a client for discharge from an acute care setting. The nurse assesses that skilled home care services are clinically indicated. This assessment is based on all of the following indicators except:A) the client has been admitted to the hospital three times in the last 2 months.B) the client has a Foley catheter.C) the client - s family is available to care for him 24 hours a day.D) the client is ordered to continue IV antibiotics 5 days post discharge.4. As a type of quality indicator, an example of a structure standard is:A) a written philosophy.B) a procedure for a straight catheterization.C) a protocol for treatment of a client with chest pain.D) the diagnostic work-up for a client with abdominal pain.5. All of the following tasks could be delegated to a nursing assistant or unlicensed assistive personnel (UAP) except:A) monitoring intravenous infusion.B) assisting a client to the bathroom.C) offering fluid intake every 1 - 2 hours.D) monitoring/recording the amount of fluid taken. Right Answer and Explanation: 1. Right Answer: AExplanation: To protect the confidentiality of the information being reported, the nurse should make the charge nurse on the unit aware of the situation so that the information can be communicated in an appropriate way in privacy. Coordinated Care2. Right Answer: CExplanation: A urologist is the physician who specializes in urinary tract and prostatic disease. A gynecologist specializes in disease of the female reproductive tract. A physiatrist specializes in rehabilitation care. A proctologist specializes in lower colonic digestive diseases. Coordinated Care3. Right Answer: CExplanation: Family availability to provide care and assistance is not an indicator for skilled home care. In fact, the nurse might see some opportunity for family education in meeting the clients needs so that less community support is needed. This needs to be negotiated with the family. Frequent hospital readmissions imply that the client has not been able to manage either due to condition instability or lack of care needs being met. This is a red flag for home care services to be able to meet those needs and appropriately monitor the client. A Foley catheter is an indication for home health care due to infection potential and care requirements. IV antibiotics involve home care due to maintaining line patency and assessment of the site. Coordinated Care4. Right Answer: AExplanation: Structure standards define all the conditions needed to operate, direct, and control a system. They do not address client care but rather describe structure with regard to purpose, such as philosophy, objectives, goals, hours of operation, and management responsibility. Coordinated Care5. Right Answer: AExplanation: Monitoring an intravenous infusion must be performed by an RN or LPN. Assisting during activity, offering fluids and recording intake are in the job scope of the nursing assistant. Coordinated Care .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 62
Questions 1. The nurse uses prioritization to determine all the following except:A) time allotment for certain tasks.B) appropriate interventions.C) treatment procedures.D) the need for client education.2. A day care center has asked the nurse to provide education for parents regarding safety in the home. What type of preventive care does this represent?A) primaryB) secondaryC) tertiaryD) health promotion3. A client has just returned from surgery where a femoral-popliteal bypass was performed. The nurse has assessed the client and is unable to feel a pulse at either the dorsalis pedis or the posterior tibial sites of the left foot. The foot feels warm and the color is pink. What action should the nurse perform next to prevent ischemia?A) Notify the physician immediately.B) Obtain a Doppler device to check for pulses, and notify the physician if they are still absent.C) Wait 30 minutes and recheck the pulses.D) Document the finding.4. The ethical principle of keeping professional promises or obligations is:A) veracity.B) autonomy.C) fidelity.D) beneficence.5. A risk management program within a hospital is responsible for all of the following except:A) identifying risks.B) controlling financial loss due to malpractice claims.C) making sure that staff follow their job descriptions.D) analyzing risks and trends to guide further interventions or programs. Right Answer and Explanation: 1. Right Answer: CExplanation: Treatment procedures are standards of care as defined by the facility or nursing unit. If a treatment is indicated, the nurse is obligated to follow the established procedure to be compliant with practice standards. Established priorities contribute to the determination of time management, appropriate interventions, and the need for client education as a potential intervention. Coordinated Care2. Right Answer: AExplanation: Primary prevention involves activities that are utilized to promote wellness or prevent illness or injury. There are many dangers in the home for small children.Providing education regarding the need for safety measures to prevent injury in the home is considered primary prevention. Secondary prevention involves early detection of a disease or illness and quick intervention to aid the client in maintenance of the disease or injury. Tertiary prevention involves the reduction of a disability and the promotion of the highest level of functioning for a client in relation to his or her disease or injury. Health promotion is any activity that increases a clients health and wellness. Health Promotion and Maintenance3. Right Answer: BExplanation: The nurse should immediately obtain a Doppler device and recheck the pulses. The dorsalis pedis and posterior tibial can be difficult to assess and might need to be verified with a Doppler. Because the client just had a surgery in which a complication is arterial insufficiency, the client must be monitored carefully. If the pulses are not found, the nurse should recognize that this is an emergent situation, and the physician must be notified immediately. If the nurse waits 30 minutes before determining if the pulses can be felt, this could compromise the viability of the clients foot due to ischemia. Documenting the findings is important but must be performed after the nurse locates the dorsalis pedis and posterior tibial pulses or any necessary interventions are made. Health Promotion and Maintenance4. Right Answer: CExplanation: The ethical principle of veracity is truth-telling. Autonomy is client self-determination (that is, clients making their own decisions). Beneficence is the principle of doing good, which is a foundation of nursing care. Coordinated Care5. Right Answer: CExplanation: Risk management is an organizationwide program to identify risks and control incidents and legal liability.It does not have any direct supervisory or management responsibility for staff. Safety and Infection Control .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 63
Questions 1. Which of the following factors can impact an individual - s ability to give informed consent?A) IQB) educational levelC) pain medicationsD) financial status2. There are many types of torts that can be committed against clients. They include all of the following except:A) assault.B) battery.C) negligence.D) felony.3. American families are having difficulty adequately performing their vital health care function. What are the basic reasons for this difficulty?A) structure of the health care system and family structureB) psychological factors for men and women seeking health careC) conditions being labeled disabilities and seen as too time consumingD) health care organizations (HMOs) and disconnected families4. Kleinman - s Explanatory Model of Health and Illness is significant because:A) it explains what kind of health beliefs a family is likely to have.B) it brings out the importance of culture in forming health explanations.C) it discusses the important role that popular and folk domains of influence have.D) it has an educational base to the structure.5. An example of an extended care facility is a:A) home health agency.B) suicide prevention center.C) state-owned psychiatric hospital.D) nursing facility. Right Answer and Explanation: 1. Right Answer: CExplanation: Pain medications might alter alertness, thought processes, and reactions. It is recommended that a client be approached for consent at least 4 hours after the last dose of pain medicine to allow minimal impact. Choices 1, 2, and 4 are incorrect. IQ and educational levels might have a bearing on how information is presented through the discussion process, but they do not have a bearing on informed-consent decision-making. Coordinated Care2. Right Answer: DExplanation: Felonies are serious crimes punishable by time in prison. Types of torts are assault, battery, and negligence in addition to slander, invasion of privacy, false imprisonment, and fraud. Coordinated Care3. Right Answer: AExplanation: Scholars suggest that the reasons families are having difficulty providing health care for their members lies with both the structure of the health care system and the family structure. Major factors explaining differences in utilization patterns of medical services include the lack of healthcare insurance coverage, lack of services for special populations (that is, teenage males), perception by families of the health care system and the health care provider, and lack of partnership between health care providers and families in mutually addressing health care issues. Health Promotion and Maintenance4. Right Answer: CExplanation: The anthropologist Kleinman makes a distinction between disease and illness. Disease is the health care professionals biomedical understanding of the health problem, while illness is the clients personal and unique understanding and definition of what is happening to him. The theorist states that cultural factors determine the importance of the various domains of influence. Health Promotion and Maintenance5. Right Answer: DExplanation: When an elderly client has been hospitalized for an illness, under Medicare he or she can be transferred to a nursing facility. Health Promotion and Maintenance .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 64
Questions 1. A client and his family facing the end stage of a terminal illness might be best served by:A) a rehabilitation center.B) an extended care facility.C) Hospice.D) a crisis intervention center.2. During a routine health screening, the nurse should talk to the parents of a 1-year-old child about which of the following?A) the potential hazards of accidentsB) appropriate nutrition now that the child has been weaned from breast-feedingC) toilet trainingD) how to purchase appropriate shoes now that the child is walking3. The school nurse is conducting health screenings on schoolchildren. During the screening, she identifies a child with the behavioral characteristics of attention deficit disorder. Which of the following behaviors is consistent with this disorder?A) slow speech developmentB) overreaction to stimuli from the surroundingsC) inability to carry on a conversationD) concrete thinking4. Who should receive the hepatitis A vaccine?A) children who are 18 months of ageB) infants, who should receive the vaccination at birthC) people who travel to other countriesD) individuals who might come into contact with blood5. Which of the following vaccines are not part of the regular schedule of immunizations for children?A) DTaPB) MMRC) HibD) hepatitis A Right Answer and Explanation: 1. Right Answer: CExplanation: Hospice has the belief that more humanized alternative care for dying clients is needed than is being provided in hospitals, which focus mostly on medical cures.No matter where the care is delivered, Hospice provides a specialized interdisciplinary team of health care professionals who work together to manage client care.HealthPromotion and Maintenance2. Right Answer: AExplanation: Accidents are the primary source of injury in children and can be life threatening. Appropriate nutrition should have been discussed during the weaning process and while the purchase of appropriate shoes is important, it is not life threatening. One year of age is too early to discuss toilet training. Health Promotion andMaintenance3. Right Answer: BExplanation: Children with attention deficit disorder are easily distracted but are able to carry on a conversation. Concrete thinking is more indicative of age, and slow speech development has more to do with other learning disabilities. Health Promotion and Maintenance4. Right Answer: CExplanation: Hepatitis A is for individuals who travel or persons with chronic liver disease. Infants receive the hepatitis B vaccine at birth. DTaP is administered at 18 months of age. Individuals who come into contact with blood should be immunized against hepatitis B. Health Promotion and Maintenance5. Right Answer: DExplanation: Hepatitis A is not part of the regular immunization schedule for children. DTaP, MMR, and Hib are all regularly scheduled vaccines for children. Health Promotion and Maintenance .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 65
Questions 1. The nurse is teaching a client about sleep and gives background information on normal sleep patterns. Which of the following substances promotes sleep?A) serotoninB) cortisoneC) alcoholD) narcotics2. A hospitalized adult client who routinely works from midnight until 8 a.m. has a temperature of 99.1 F at 4 a.m. The nurse determines that this is most likely due to:A) delta sleepB) slow brain wavesC) pneumoniaD) circadian rhythm3. Mrs. Peterson complains of difficulty falling asleep, awakening earlier than desired, and not feeling rested. She attributes these problems to leg pain that is secondary to her arthritis. What is the most appropriate nursing diagnosis for her?A) Sleep Pattern Disturbances (related to arthritis)B) Fatigue (related to leg pain)C) Knowledge Deficit (regarding sleep hygiene measures)D) Sleep Pattern Disturbances (related to chronic leg pain)4. A client asks the nurse if all donor blood products are cross-matched with the recipient to prevent a transfusion reaction. Which of the following always requires cross-matching?A) packed red blood cellsB) plateletsC) plasmaD) granulocytes5. A clients central venous access device (CVAD) becomes infected. Why might the physician order antibiotics to be given through the line rather than through a peripheral IV line?A) to prevent infiltration of the peripheral lineB) to reduce the pain and discomfort associated with antibiotic administration in a small veinC) to lessen the chance of an allergic reaction to the antibioticD) to attempt to eliminate microorganisms in the catheter and prevent having to remove it Right Answer and Explanation: 1. Right Answer: AExplanation: Serotonin is a substance that is in the body and promotes sleep. Serotonin might play a role in synthesis of a hypnogenic factor that directly causes sleep. Drugs and alcohol can disrupt REM sleep, although they might accelerate the onset of sleep. Basic Care and Comfort2. Right Answer: DExplanation: Biological rhythms that follow a cycle lasting about 24 hours are termed circadian rhythm. The sleep-wake cycle is closely linked with cardiac rhythms, such as body temperature. While a person sleeps, core body temperature drops, often reaching the 24-hour low at 4 a.m. When the sleep period shifts, temperature fluctuations also shift to match the new sleep patterns. Basic Care and Comfort3. Right Answer: DExplanation: The clients sleep pattern is directly disturbed by the chronic leg pain, which is secondary to the arthritis. This nursing diagnosis is the appropriate one to directly deal with comfort measures and the like. Basic Care and Comfort4. Right Answer: AExplanation: Packed red blood cells contain antigens and antibodies that must be matched between donor and recipient. Choices 2, 3, and 4 do not contain red cells; thus, they require no cross-matching. Pharmacological Therapies5. Right Answer: DExplanation: Microorganisms that infect CVADs are often coagulase-negative staphylococci, which can be eliminated by antibiotic administration through the catheter. If unsuccessful in eliminating the microorganism, the CVAD must be removed. CVAD use lessens the need for peripheral IV lines and thus the risk of infiltration. In this case, however, the antibiotics are given to eradicate microorganisms from the CVAD. CVAD use has the effect described in Choice 2, but in this case, the antibiotics are given through the CVAD to eliminate the infective agent. The route does not prevent an allergic reaction. Pharmacological Therapies .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
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