Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 75
Questions 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) situationalB) maturationalC) adventitiousD) reactive3. 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) erythrocytosisB) leukocytosisC) polycythemiaD) thrombocytopenia4. 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 bearingB) hemorrhageC) affected leg appearing 1 - 2 inches longerD) edema in the area of the incision Right Answer and Explanation: 1. Right Answer: AExplanation: 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 Integrity2. Right Answer: BExplanation: 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 Integrity3. Right Answer: DExplanation: 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 Adaptation4. Right Answer: DExplanation: 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 Adaptation5. Right Answer: AExplanation: 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 .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 76
Questions 1. Paula is a 32-year-old woman seeking evaluation and treatment of major depressive symptoms. A major nursing priority during the assessment process includes which of the following?A) meaning of current stressorsB) possibility of self-harmC) motivation to participate in treatmentD) presence of alcohol or other drug use2. A client is assessed by the nurse as experiencing a crisis. The nurse plans to:A) allow the client to work through independent problem-solving.B) complete an in-depth evaluation of stressors and responses to the situation.C) focus on immediate stress reduction.D) recommend ongoing therapy.3. A client is having psychological counseling for problems communicating with his mother. Which model of stress is the most useful in reference to this stressor?A) Adaptation ModelB) Stimulus-Based ModelC) Transaction-Based ModelD) Selye - s Model of Stress4. During surgery, it is found that a client with adenocarcinoma of the rectum has positive peritoneal lymph nodes. What is the next most likely site of metastasis?A) brainB) boneC) liverD) mediastinum5. In a disaster, triage situation, the nurse should be least concerned with which of the following regarding a client in crisis?A) ability to breatheB) pallor or cyanosis of the skinC) number of accompanying family membersD) motor function Right Answer and Explanation: 1. Right Answer: BExplanation: Unless the client is first assessed for self-harm or suicide potential, the staff might not observe the necessary degree of vigilance needed in the clients environment. Physical needs are the second most critical concern with a depressive client. Though the client may be encouraged to attend group therapy as part of the treatment plan, the clients safety takes precedence. Response to medication takes time and is not an initial concern. Physiological Adaptation2. Right Answer: CExplanation: A crisis is an acute, time-limited state of disequilibrium resulting from a situational, developmental, or societal source of stress. Utilizing the nursing process, the nurse should assist clients to work through a crisis to its resolution and restore their precrisis level of functioning. Psychosocial Integrity3. Right Answer: CExplanation: The Transaction-Based Model is, according to R.S. Lazarus, a state that Stimulus theory and Response theory do not consider individual differences. He takes into account cognitive processes that intervene between the encounter and the reaction and the factors that affect the nature of this process. He includes mental and psychological components or responses as part of his concept of stress (Person Environment Transactions). Psychosocial Integrity4. Right Answer: CExplanation: Colon tumors tend to spread through the lymphatics and portal vein to the liver. Although metastasis to the other sites listed is possible, the liver is most likely the first to be affected. Physiological Adaptation5. Right Answer: CExplanation: The least important factor (of those listed) during an emergency situation is the number of accompanying family members. 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 77
Questions 1. All of the following clients are in need of an emergency assessment except:A) a bleeding client who has an injury from falling debris.B) an unresponsive client.C) a client with an old injury.D) a pregnant woman with imminent delivery.2. All of the following are causes of vaginal bleeding in late pregnancy except:A) placenta previa.B) eclampsia.C) abruptio placentae.D) uterine rupture.3. Padding on a restraint helps:A) with pressure distribution so that bony prominences do not receive pressure when a client pulls against the restraints.B) the client feel more secure.C) to keep infection and wounds down.D) to keep restraints in place.4. What does client and family communication and education concerning restraints do?A) confuses both groups moreB) helps with coping and stress levelsC) encourages cooperation with the client and familyD) puts the responsibility on the client and family, not the nurse5. Which of the following statements describes the purpose of client restraint?A) Restraints are a nursing measure used to maintain client control.B) Restraints are an emergency intervention taken as a last resort to protect a client from imminent danger.C) Restraints are a therapeutic measure designed to positively reinforce client behavior.D) Restraints are an emergency measure that can only be taken by a nurse under the direct supervision of a physician. Right Answer and Explanation: 1. Right Answer: CExplanation: The client with an old injury does not need an emergency assessment because this is not a life-threatening or new situation or condition. Safety and InfectionControl2. Right Answer: BExplanation: Eclampsia is a disorder of pregnancy characterized by hypertension, proteinuria, and edema. This condition can cause seizure and/or coma. Choices 1 and 3 are abnormal conditions that can cause bleeding, particularly in the third trimester. Choice 4 is a major obstetrical emergency that can cause bleeding internally and externally. Safety and Infection Control3. Right Answer: AExplanation: Padding distributes pressure so that bony prominences do not receive the brunt of pressure when a client pulls against the restraints. Pressure, especially over bony prominences, causes tissue damage due to ischemia. Safetyand Infection Control4. Right Answer: CExplanation: Cooperation is more likely if the client and family understand the purpose of and expected gains from restraints.Well-meaning family members might release restraints if their purpose is not clear.Safety and Infection Control5. Right Answer: BExplanation: The use of restraints as an emergency measure is taken primarily as a last resort to protect a client from harm. Typically, the nurse acts under a physicians order, but in an emergency, the nurse may restrain a client out of necessity for one hour prior to the client being seen by a physician or an advanced practice mental health provider. 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 78
Questions 1. Support systems during the grieving process include all of the following except:A) a despondent friend.B) a nurse.C) a social worker.D) a family member.2. Mrs. Owens is the 81-year-old mother of Jonathan, who is 54 years old. Jonathan has had schizophrenia since he was 16 years old. Which of Mrs. Owenss concerns is likely to predominate?A) 'Will my retirement funds outlast me?'B) 'Who will handle my funeral arrangements?'C) 'What will become of Jonathan when I am gone?'D) 'How can I get Jonathan - s physician to talk to me?'3. During the work phase of the nurse-client relationship, the client says to her primary nurse, 'You think that I could walk if I wanted to, don - t you?' What is the best response by the nurse?A) 'Yes, if you really wanted to, you could.'B) 'Tell me why you - re concerned about what I think.'C) 'Do you think you could walk if you wanted to?'D) 'I think you - re unable to walk now, whatever the cause.'4. A successful resolution of the nursing diagnosis Negative Self-Concept (related to unrealistic selfexpectations) is when the client can:A) report a positive self-concept.B) identify negative thoughts.C) recognize positive thoughts.D) give one positive cue with each negative cue.5. A client who recently lost 50 pounds just received news that she is pregnant. A possible nursing diagnosis is:A) Actual Chronic Low Self-Esteem (related to obesity).B) Potential Chronic Low Self-Esteem (related to obesity).C) Actual Situational Low Self-Esteem (related to fear of weight regain and pregnancy).D) Potential Situational Low Self-Esteem (related to fear of weight regain and pregnancy). Right Answer and Explanation: 1. Right Answer: AExplanation: A despondent friend, even though this could be a support to the grieving person, is in a state of despondency. Therefore, he or she might not do well with a grieving friend. Psychosocial Integrity2. Right Answer: CExplanation: The mothers most prominent concern is likely to be what becomes of her son after she dies. Choice 1 is important but is not likely to be her most prominent concern. Choice 2 is also not likely to be her primary concern because the welfare of her son with schizophrenia is more important. Choice 4 is incorrect becauseMrs. Owens has likely confronted and handled concerns about getting the physician to talk to her after 38 years of managing her sons care. Psychosocial Integrity3. Right Answer: DExplanation: This response answers the question honestly and nonjudgmentally and helps to preserve the clients self-esteem.Choice 1 is an open and candid response but diminishes the clients self-esteem. Choice 2 doesnt answer the clients question and is not helpful. Choice 3 increases the clients anxiety because her inability to walk might be directly related to an unconscious psychological conflict that has not been resolved.Psychosocial Integrity4. Right Answer: AExplanation: The problem statement is Negative Self Concept. A successful resolution of the problem is when the client can report a positive self-concept. When the nurse determines how the client perceives himself, effort should be directed to reinforce self-worth and promote a positive self-concept,including helping a client to identify areas of strength. Assisting the client to evaluate himself and make behavior changes is a nursing intervention. Psychosocial Integrity5. Right Answer: DExplanation: If there are indications of a body image disturbance, the nursing care plan should include body disturbances, related to a functional or physical problem. The disturbance might be an anticipated one that is, weight gain and pregnancy. Stressors can include a change in physical appearance, sexuality concerns, or an unrealistic ideal self. Psychosocial Integrity .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 79
Questions 1. The nurse should utilize data about which of the following to provide information about the nutritional status of a client being evaluated for malnutrition?A) triceps skinfold measurementB) fasting blood glucose levelC) hemoglobin A1c levelD) serum lipid profile results2. The nurse should make which of the following responses when questioned by a client about the role of leptin in the body?A) It increases food intake in clients, thereby promoting obesity.B) It assists in the regulation of steroids.C) It increases the total fat mass of people who are obese.D) It might decrease the total fat mass in the bodies of people who are obese.3. What are the implications for a client with renal insufficiency who wants to start a low-carbohydrate (CHO) diet?A) As long as the client eats a minimum of 30g of CHO/day, there should be no problem.B) The client - s clinical condition is a contraindication to starting a low CHO diet.C) Calcium supplements should be utilized to prevent the development of osteoporosis while on a low CHO diet.D) As long as the client eats foods that are high biologic protein sources, a low CHO diet can be followed.4. Herbal therapy has several indications for use. Primarily, herbal therapy is:A) used to treat many common complaints and diseases.B) used to promote certain types of low-carb diets.C) used as an adjunct to medications.D) used to create a diet without salt and carbohydrates.5. The chemotherapeutic agent 5-fluorourcacil (5-FU) is ordered for a client as an adjunct measure to surgery. Which statement about chemotherapy is true?A) It is a local treatment affecting only tumor cells.B) It is a systemic treatment affecting both tumor and normal cells.C) It has not yet been proved an effective treatment for cancer.D) It is often the drug of choice because it causes few, if any, side effects. Right Answer and Explanation: 1. Right Answer: AExplanation: Objective anthropometric measurements such as triceps skinfold and mid-arm circumference (MAC), along with weight, are usually used to diagnose malnutrition.While all the other choices represent tests that might provide useful information, they also might be affected by variables other than malnutrition. PhysiologicalAdaptation2. Right Answer: DExplanation: Leptin (recessive obesity gene protein hormone) is expressed in fat cell coding for the protein that reacts to the percentage of fat cells in the body. Leptin is associated with increased energy expenditure and decreased food intake via hypothalamic control. Obese clients might have insensitivity or resistance to the effects of leptin. Leptin can affect other body hormones such as insulin. Genetic factors include leptin, uncoupling proteins, and the amount of brown/white fat in the body. Physiological Adaptation3. Right Answer: BExplanation: A client with renal insufficiency should not start a low CHO diet because it could result in an increased renal solute load. Clients who have renal disease (renal failure, endstage renal disease [ESRD], dialysis, and transplant) or liver disease (liver failure, hepatic encephalopathy, cirrhosis, transplant, and hepatitis) require some form of protein control in dietary patterns to prevent complications from an inability to handle protein solute load. Proteins used in the diet must be of high biologic value, and protein intake is usually weight based, starting at 0.8 g/kg of dry weight, depending on the clients underlying clinical condition. Protein levels may be increased as necessary to account for metabolic response to dialysis and regeneration of liver tissue (1.52.0 g/kg/day). A minimum level of CHOs are needed in the diet (50100 g/day) to spare protein. Vitamin and mineral supplements might be indicated with clients who have liver failure. The dietician is instrumental in calculating specific nutrient requirements for these clients and reviewing fluid intake and output, medication profile, and daily weight to monitor client outcomes in conjunction with dialysis technicians and nurses. Physiological Adaptation4. Right Answer: AExplanation: Herbal therapy is used to treat many common complaints and diseases. Physiological Adaptation5. Right Answer: BExplanation: 5-FU is an antieoplastic, antimetabolic drug that inhibits DNA synthesis and interferes with cell replication. It is given intravenously and acts systemically. It affects all rapidly growing cells,both malignant and normal. It is used as adjuvant therapy for treating cancer of the colon, rectum, stomach, breast, and pancreas. This drug has many side effects, including bone marrow depression, anorexia, stomatitis, nausea, and vomiting. Physiological Adaptation .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 80
Questions 1. When teaching a woman about possible side effects of hormone replacement therapy, the nurse should include information about all of the following except:A) Hypoglycemia in diabetic women.B) The possible return of monthly menses when taking combination hormones.C) Increased risk of gallbladder disease.D) Increased risk of breast, cervical, and ovarian cancer with long-term use.2. After 12 months of cessation of menses, which of the following assessment findings in a client who is taking hormone replacement therapy should the nurse report to the physician immediately?A) breast tendernessB) weight gainC) fluid retentionD) uterine bleeding3. Which of the following statements by a client indicates adequate preparation for magnetic resonance imaging?A) 'I can leave my metal jewelry on during the test.'B) 'I need to wear earplugs during the test.'C) 'I can have the test even though I have a pacemaker.'D) 'I can have the test even though I have an artificial hip.'4. A client expresses anxiety about having magnetic resonance imaging performed. Which of the following is an appropriate response by the nurse?A) 'You can receive a sedative to help you relax during the test.'B) 'There is absolutely nothing to worry about.'C) 'There is no discomfort with this test, so don - t be anxious.'D) 'The test won - t last long, so you can handle it.'5. Which of the following is an indication for electroencephalography?A) paralysisB) neuropathyC) seizure disorderD) myocardial infarction Right Answer and Explanation: 1. Right Answer: AExplanation: When taking estrogen, there is an increased risk of diabetes or hyperglycemia due to lowered glucose tolerance. It is true that monthly menses might return when taking combination hormones. The progestin is responsible for this. There is also a risk of gallbladder disease. It is also true that there is an increased risk of breast, cervical, and ovarian cancer with long-term hormone replacement therapy. Health Promotion and Maintenance2. Right Answer: DExplanation: Uterine bleeding on combination hormone replacement therapy, after 12 months of menses cessation, indicates an increased risk of carcinoma and should be reported to the physician immediately. Breast tenderness, weight gain, and fluid retention are all routine side effects of hormone replacement therapy. They should be noted in the record and reported to the physician, but they are not urgent.Health Promotion and Maintenance3. Right Answer: BExplanation: Due to the loud noises from the scanner moving to obtain images, earplugs need to be worn. No metal objects are allowed, including jewelry, pacemakers, and artificial joints. Reduction of Risk Potential4. Right Answer: AExplanation: This statement reassures the client that there is a solution for relief of his anxiety. The other responses minimize the clients feelings. Reduction of Risk Potential5. Right Answer: CExplanation: Electroencephalography is indicated for assessing clients with a seizure disorder. 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 81
Questions 1. When a client wishes to improve her appearance by removing excess skin from her face and neck, the nurse should provide teaching regarding which of the following procedures?A) dermabrasionB) rhinoplastyC) blepharoplastyD) rhytidectomy2. All of the following are clinical manifestations indicating male climacteric except:A) hot flashes.B) loss of reproductive ability.C) headaches.D) heart palpitations.3. When a middle-age woman says to the nurse, 'I - m really worried about menopause. When my mom went through it, she got really depressed.' The nurse - s best response is:A) 'It is a myth that women get depressed because of menopause.'B) 'Menopause is a normal developmental process.'C) 'It sounds like you are worried that you might become depressed during menopause.'D) 'When women experience depression during menopause it is usually because of social stresses.'4. When a woman is receiving postpartum epidural morphine, the nurse should plan to observe for which of the following side effects to occur within the first 3 hours?A) nausea and vomitingB) itchingC) urinary retentionD) somnolence5. The teaching plan for a postpartum client who is about to be discharged should include which of the following instructions?A) 'It is normal for your breasts to be tender. You should call the physician if you also have redness and fatigue.'B) 'Because your baby was delivered vaginally, you might have to urinate more frequently.'C) 'It is normal to run a low-grade temperature for a few days. If it is higher than 100° F, call your physician.'D) 'Be sure to call your physician if your vaginal discharge becomes bright red.' Right Answer and Explanation: 1. Right Answer: DExplanation: Rhytidectomy is the procedure for removing excess skin from the face and neck. It is commonly called a face-lift. Dermabrasion involves the spraying of a chemical to cause light freezing of the skin, which is then abraded with sandpaper or a revolving wire brush. It is used to remove facial scars, severe acne, and pigment from tattoos. Rhinoplasty is performed to improve the appearance of the nose and involves reshaping the nasal skeleton and overlying skin.Blepharoplasty is the procedure that removes loose and protruding fat from the upper and lower eyelids. Health Promotion and Maintenance2. Right Answer: BExplanation: The likelihood of fathering children does decrease with aging and decreased testosterone production, but men do not lose their ability to reproduce during the climacteric. Many men do not experience any physical symptoms of climacteric but some men do report hot flashes, headaches, and heart palpitations, among other symptoms. Health Promotion and Maintenance3. Right Answer: CExplanation: Choice 3 not only acknowledges the clients fear but invites more disclosure and discussion. Reflective listening is very therapeutic and in this case acknowledges the womans unspoken fear that she might become depressed like her mother. When her fears have been acknowledged and she feels that the nurse understands, she will be more open to the teaching or interventions to follow. It is a myth that menopause causes depression, but to say that to this client does not acknowledge the fear she shared with the nurse and gives the impression the nurse doesnt care about her concern. It closes down communication. It is also true that menopause is a normal developmental process. This can certainly be used in teaching but not to address her immediate concern; the client might feel the nurse doesnt think her concern is appropriate because menopause is normal. If women experience depression during menopause, it is usually due to social stresses such as loss of loved ones, loss of roles, caregiver demands, and physical problems. Choice 4 is true but is a nontherapeutic response in this situation.Health Promotion and Maintenance4. Right Answer: BExplanation: A side effect of postpartum epidural morphine is the onset of itching within 3 hours of injection and lasting up to 10 hours. Nausea and vomiting might occur 47 hours after injection. Urinary retention is a side effect of postpartum epidural morphine but is not assessed as such within the first 3 hours. Somnolence is a rare side effect. Health Promotion and Maintenance5. Right Answer: DExplanation: The vaginal discharge after birth is called lochia, and it changes from red (rubra) to serosa (clear) on the third postpartum day. If it returns to red or contains clots, it could signal impending hemorrhage or infection and the physician should be notified. It is not normal for the breasts to be tender. If the breasts become engorged, they might be tender and the mother might need to be given additional instructions on breast care. Tenderness, redness, and fatigue are clinical manifestations of mastitis and should be reported to the physician. A woman should void in normal patterns and frequency after birth. Increased frequency is a sign of a urinary tract infection and should be reported to the physician. By the time of discharge, the womans temperature should be normal. Elevations should be reported to the physician. 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 82
Questions 1. The parents of a 2-year-old child ask the nurse how they can teach their child to quit taking toys away from other children. Which of the following statements by the nurse offers the parents the best explanation of their childs behavior?A) 'Your child is egocentric. Egocentricity is normal for 2-year-old children. He believes other children want him to have their toys.'B) 'Your child is showing negativity. He doesn - t want other children to have the toys he wants.'C) 'Your child is demonstrating magical thinking. He believes he can make the other children want him to play with their toys.'D) 'Your child is engaging in domestic imitation. He is doing what he has seen other children do.'2. Which of the following infant behaviors demonstrates the concept of object permanence?A) The infant cries when his mother leaves the room.B) The infant looks at the floor to find a toy that he was playing with and dropped.C) The infant picks up another toy after the one he was playing with rolls under the couch.D) The infant participates in a game of patty-cake.3. Which of the following home-care strategies is most likely to negatively impact the body image of a client with Cushing - s syndrome?A) providing safety measures to prevent fallsB) taking medications as prescribedC) wearing a medical ID indicating Cushing - s syndromeD) having regular health assessments4. Which of the following medications should be held 24 - 48 hours prior to an electroencephalogram (EEG)?A) Lasix (furosemide)B) Cardizem (diltiazem)C) Lanoxin (digoxin)D) Dilantin (phenytoin)5. Which of the following statements by a client indicates adequate understanding of preparation for electroencephalography?A) 'I cannot eat or drink after midnight.'B) 'I need to wash my hair before the test.'C) 'I need to remove metal jewelry.'D) 'I cannot take aspirin before the test.' Right Answer and Explanation: 1. Right Answer: AExplanation: Two-year-old children are very egocentric. They believe everything and everyone is concerned about them. They believe other children want them to have their toys. This is different than believing they can make other children want them to have all the toys, as in magical thinking, which normally occurs in preschool-age children. Toddlers are very negative, but this is expressed by refusal of requests made to them. Domestic imitation does occur in preschool-age children, but it refers to the imitation of household chores and roles performed by adults, not the imitation of other children. Health Promotion and Maintenance2. Right Answer: BExplanation: Object permanence occurs when the infant learns that something/someone still exists even though they might not be able to see it/them. This develops between 9 and 10 months of age. If the infant cries when his mother leaves the room, it might be because he believes she is no longer in the house when he cant see her. If an infant picks up another toy after the one he is playing with rolls under the couch and the infant fails to look for it, he believes the toy that rolled under the couch no longer exists. Patty-cake is a game infants engage in but, it has nothing to do with object permanence. An infant game that does show object permanence is peek-a-boo. In this game, an infant continues to hunt for a hidden face because he believes it is still there. Health Promotion and Maintenance3. Right Answer: CExplanation: All of the strategies listed are included in home care for the client with Cushings syndrome. Choice 3 is the best answer because wearing a medical ID is a visible sign that something is wrong and a constant reminder to the client that he or she has a loss of body function. Choice 1 might enhance body image because it prevents falls that could cause further injury and debilitation. Taking medications as prescribed should enhance body image because it decreases the symptoms present. Having regular health assessments indicates an enhanced body image because it signals the desire to take care of the body and keep it at its best.Health Promotion and Maintenance4. Right Answer: DExplanation: Anticonvulsants (such as Dilantin), tranquilizers, barbiturates, and other sedatives should be held 2448 hours prior to an EEG. The other medications do not fall into these classifications. Reduction of Risk Potential5. Right Answer: BExplanation: The client needs to wash his hair to remove hair spray, cream, or oil that might interfere with attaching the electrodes to the scalp. Food or fluids do not need to be restricted, with the exception of caffeinated fluids. There is no restriction on metal objects. Aspirin is not a medication that needs to be held before the test (just anticonvulsants, tranquilizers, barbiturates, and other sedatives). 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 83
Questions 1. A nurse is caring for a client with an elevated urine osmolarity. The nurse should assess the client for:A) fluid volume excess.B) hyperkalemia.C) hypercalcemia.D) fluid volume deficit.2. A physician orders a serum creatinine for a hospitalized client. The nurse should explain to the client and his family that this test:A) is normal if the level is 4.0 to 5.5 mg/dl.B) can be elevated with increased protein intake.C) is a better indicator of renal function than the BUN.D) reflects the fluid volume status of a person.3. One of the major functions of the kidneys in maintaining normal fluid balance is:A) the manufacture of antidiuretic hormone.B) the regulation of calcium and phosphate balance.C) the regulation of the pH of the extracellular fluid.D) the control of aldosterone levels.4. A nurse is caring for a client with an elevated cortisol level. The nurse can expect the client to exhibit symptoms of:A) urinary excess.B) hyperpituitarism.C) urinary deficit.D) hyperthyroidism.5. The anemias most often associated with pregnancy are:A) folic acid and iron deficiency.B) folic acid deficiency and thalassemia.C) iron deficiency and thalassemia.D) thalassemia and B12 deficiency. Right Answer and Explanation: 1. Right Answer: DExplanation: For a client with an elevated urine osmolarity, the nurse should assess the client for fluid volume deficit. Physiological Adaptation2. Right Answer: CExplanation: A serum creatinine level should be 0.7 to 1.5 mg/dl, and it does not vary with increased protein intake, so it is a better indicator of renal function than theBUN.Physiological Adaptation3. Right Answer: CExplanation: Major functions of the kidneys in maintaining normal fluid balance include regulation of extracellular fluid and osmolarity by selective retention and excretion of fluids, regulation of pH of the extracellular fluid by retention of hydrogen ions, and excretion of metabolic wastes and toxic substances. ADH is manufactured by the pituitary, and the parathyroid regulates calcium and phosphate balance. Physiological Adaptation4. Right Answer: CExplanation: High levels of cortisol can produce sodium and fluid retention and potassium deficit, thus creating urinary deficit. Physiological Adaptation5. Right Answer: AExplanation: Folic acid and iron deficiency anemia are the most common anemias, prevalent in women of childbearing age with 50% of pregnant women having this type of anemia. Iron deficiency anemia during pregnancy is a result (usually) of the increase in the plasma level during pregnancy but not in the constituent level. Also, if a woman has this type of anemia prepregnancy, it gets worse during pregnancy. Physiological Adaptation .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
Search
Popular categories
Latest blogs
HR all events, conferences in 2023
Sat, 13 May 2023
What to Expect from HR Certification Exam: Tips and Strategies
Sat, 08 Apr 2023
The Cost of HR Certification: Is it Worth the Investment?
Sat, 08 Apr 2023
Write a public review