Download NCLEX PN TEST BANK 100% CORRECTLY VERIFIED ANSWERS GRADED A+ BEST EXAM SOLUTION GUARANTEED and more Exams Nursing in PDF only on Docsity!
NCLEX PN TEST BANK 100% CORRECTLY/VERIFIED
ANSWERS GRADED A+ BEST EXAM SOLUTION
GUARANTEED SUCCESS LATEST VERSION 2024
DOWNLOAD TO SCORE A+
QUESTION 1
Which of the following is an appropriate nursing goal for a client at risk for nutritional problems? A. provide oxygen B. promote healthy nutritional practices C. treat complications of malnutrition D. increase weight Answer: B Explanatio n: Promoting healthy nutritional practices is an appropriate nursing goal for a client at risk for nutritional problems. Choice 1 is incorrect because it is a nursing intervention, not a goal statement. Choice 3 is incorrect because it is a therapeutic treatment. Choice 4 is incorrect because weight gain is an appropriate goal only if the client is underweight.Basic Care and Comfort QUESTION 2 A woman asks, “How much alcohol can I safely drink while pregnant?” The nurse’s best response is: A. “The amount of alcohol that is safe during pregnancy is unknown.” B. “Consuming one or two beers or glasses of wine a day is considered safe for a healthy pregnant
woman.” C. “Drinking three or more drinks on any given occasion is the only harmful type of drinking during pregnancy.” D. “You can have a drink to help you relax and get to sleep at night.” Answer: A Explanatio n: The amount of alcohol that is safe during pregnancy is unknown. Fetal alcohol syndrome is a combination of mental and physical abnormalities present in infants born to mothers who have consumed alcohol during pregnancy.Psychosocial Integrity QUESTION 3 Which of the following lab values is associated with a decreased risk of cardiovascular disease? A. high HDL cholesterol B. low HDL cholesterol C. low total cholesterol D. low triglycerides Answer: A Explanatio n: High HDL cholesterol and low LDL cholesterol are associated with a decreased risk of cardiovascular disease.Reduction of Risk Potential
A. giving clients with life-threatening illnesses the best quality of life possible. B. taking care of the whole person—body, mind, spirit, heart, and soul. C. no interventions are needed because the client is near death. D. support of needs of the family and client. Answer: C Explanatio n: The goals of palliative care include choices 1, 2, and 4. Choice 3 is not part of palliative care. All aspects of medical, emotional, social, and spiritual needs of the dying client should be focused on until the end of life.Basic Care and Comfort QUESTION 5 All of the following factors, when identified in the history of a family, are correlated with poverty except: A. high infant mortality rate. B. frequent use of Emergency Departments. C. consultation with folk healers. D. low incidence of dental problems. Answer: D Explanatio n: Dental problems are prevalent because of the lack of preventive care and access to care. High infant mortality is one of the most significant problems correlated with poverty. Pregnant women who do not have access to care might come to the Emergency Department when in
labor. Those in poverty are likely to use Emergency Departments because they may not be turned away. Those in poverty might also turn to folk healers or other persons in their community for care who might be easier to access and might not demand payment.Health Promotion and Maintenance QUESTION 6 What interpersonal relief behavior is Ashley using? A. acting out B. somatizing C. withdrawal D. problem-solving Answer: B Explanatio n: Somatizing means one experiences an emotional conflict as a physical symptom. Ashley manifests several physical symptoms associated with severe anxiety. Acting out refers to behaviors such as anger, crying, laughter, and physical or verbal abuse. Withdrawal is a reaction in which psychic energy is withdrawn from the environment and focused on the self in response to anxiety. Problem-solving takes place when anxiety is identified and the unmet need is met.Psychosocial Integrity QUESTION 7 A client who is immobilized secondary to traction is complaining of constipation. Which of the following medications should the nurse expect to be ordered?
QUESTION 8
A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin. The nurse should base her reply on the knowledge that: A. the client’s body has developed tolerance, requiring more drug to produce the same effect. B. the client is preoccupied with getting the drug and is experiencing loss of control, indicating drug dependence. C. addiction is the term used to describe physical dependence with withdrawal symptoms and tolerance. D. the client has a dual diagnosis of substance abuse and chronic back pain. Answer: A Explanatio n: Drug tolerance is characterized by the ability to ingest a larger dose without adverse effect and decreased sensitivity to the substance. Substance dependence is a severe condition indicating physical problems and disruption of the person’s social, family, and work life. The psychological behaviors related to substance use are termed addiction. Dual diagnosis is the coexistence of substance abuse and psychiatric disorders.Psychosocial Integrity QUESTION 9 A client has been taking alprazolam (Xanax) for four years to manage anxiety. The client reports taking 0.5 mg four times a day. Which statement indicates that the client understands the nurse’s teaching about discontinuing the medication?
A. “I can drink alcohol now that I am decreasing my Xanax.” B. “I should not take another Xanax pill. Here is what is left of my last prescription.” C. “I should take three pills per day next week, then two pills for one week, then one pill for one week.” D. “I can expect to be sleepy for several days after stopping the medicine.” Answer: C Explanatio n: Xanax, like other benzodiazepines, can cause withdrawal symptoms that include agitation, insomnia, hypertension, seizures, and abdominal pain. The drug must be slowly decreased to prevent
Answer: D Explanatio n: Light therapy can be effective in treating problems associated with sleep patterns, stress, moods, jaundice in newborns, and seasonal affective disorders.Nonpharmacological Therapies QUESTION 12 A safety measure to implement when transferring a client with hemiparesis from a bed to a wheelchair is: A. standing the client and walking him or her to the wheelchair. B. moving the wheelchair close to client’s bed and standing and pivoting the client on his unaffected extremity to the wheelchair. C. moving the wheelchair close to client’s bed and standing and pivoting the client on his affected extremity to the wheelchair. D. having the client stand and push his body to the wheelchair. Answer: B Explanatio n: Moving the wheelchair close to client’s bed and having him stand and pivot on his unaffected extremity to the wheelchair is safer because it provides support with the unaffected limb.Basic Care and Comfort QUESTION 13 Which of the following terms refers to soft-tissue injury caused by blunt force?
A. contusion B. strain C. sprain D. dislocation Answer: A Explanatio n: A contusion is a soft-tissue injury caused by blunt force. It is an injury that does not break the skin, is caused by a blow and is characterized by swelling, discoloration, and pain. The immediate application of cold might limit the development of a contusion. A strain is a muscle pull from overuse, overstretching, or excessive stress. A sprain is caused by a wrenching or twisting motion. A dislocation is a condition in which the articular surfaces of the bones forming a joint are no longer in anatomic contact.Physiological Adaptation QUESTION 14 Major competencies for the nurse giving end-oflife care include: A. demonstrating respect and compassion, and applying knowledge and skills in care of the family and the client. B. assessing and intervening to support total management of the family and client. C. setting goals, expectations, and dynamic changes to care for the client. D. keeping all sad news away from the family and client. Answer: A Explanatio n:
A. capillary refill, warm toes, no discomfort.
B. posterior tibial pulses, warm toes. C. moist skin essential, pain threshold. D. discomfort of the metacarpals. Answer: A Explanatio n: Assessment for adequate circulation is necessary. Signs of impaired circulation include slow capillary refill, cool fingers or toes, and pain.Basic Care and Comfort QUESTION 17 Why might breast implants interfere with mammography? A. They might cause additional discomfort. B. They are contraindications to mammography. C. They are likely to be dislodged. D. They might prevent detection of masses. Answer: D Explanatio n: Breast implants can prevent detection of masses. Choices 1, 2, and 3 are not ways in which breast implants interfere with mammography.Reduction of Risk Potential
Vitamin B12 is the primary nutritional deficiency of concern for a strict vegetarian.Health Promotion and Maintenance QUESTION 20 A client comes to the clinic for assessment of his physical status and guidelines for starting a weight-reduction diet. The client’s weight is 216 pounds and his height is 66 inches. The nurse identifies the BMI (body mass index) as:
A. within normal limits, so a weight-reduction diet is unnecessary. B. lower than normal, so education about nutrient-dense foods is needed. C. indicating obesity because the BMI is 35. D. indicating overweight status because the BMI is 27. Answer: C Explanatio n: Obesity is defined by a BMI of 30 or more with no co-morbid conditions. It is calculated by utilizing a chart or nomogram that plots height and weight. This client’s BMI is 35, indicating obesity. Goals of diet therapy are aimed at decreasing weight and increasing activity to healthy levels based on a client’s BMI, activity status, and energy requirements.Physiological Adaptation QUESTION 21 When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client’s body should she measure? A. corner of the mouth to the tragus of the ear B. corner of the eye to the top of the ear C. tip of the chin to the sternum D. tip of the nose to the earlobe Answer: A Explanatio n: An oropharyngeal airway is measured from the corner of the client’s mouth, to the tragus of
QUESTION 23
To remove hard contact lenses from an unresponsive client, the nurse should: A. gently irrigate the eye with an irrigating solution from the inner canthus outward. B. grasp the lens with a gentle pinching motion. C. don sterile gloves before attempting the procedure. D. ensure that the lens is centered on the cornea before gently manipulating the lids to release the lens. Answer: D Explanatio n: To remove hard contact lenses, the upper and lower eyelids are gently maneuvered to help loosen the lens and slide it out of the eye. The lens must be situated on the cornea, not the sclera, before removal. An attempt to grasp a hard lens might result in a scratch on the cornea. Clean gloves are an option if drainage is present.Basic Care and Comfort QUESTION 24 Which is the proper hand position for performing chest percussion? A. cup the hands B. use the side of the hands C. flatten the hands D. spread the fingers of both hands Answer: A Explanatio
n: The hands are cupped for performing percussion, producing a vibration that helps loosen respiratory secretions. The other hand positions do not accomplish this task.Reduction of Risk Potential QUESTION 25 For a client with suspected appendicitis, the nurse should expect to find abdominal tenderness in which quadrant? A. upper right B. upper left C. lower right D. lower left Answer: C Explanatio n: The nurse should expect to find abdominal tenderness in the lower-right quadrant in a client with appendicitis. Physiological Adaptation QUESTION 26 The major electrolytes in the extracellular fluid are: A. potassium and chloride. B. potassium and phosphate.
