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NCLEX-PN Exam Questions - Part 117
1. A nurse who is assessing the health-related physical fitness of a client as part of a health assessment should focus on which of the following aspects of the assessment?
A) agility
B) speed
C) body composition
D) risk factors
2. A nurse is trying to motivate a client toward more effective management of a therapeutic regimen. Which of the following actions by the nurse is most likely to be effective in increasing the clients motivation?
A) determining whether the client has any family or friends living nearby
B) developing a lengthy discharge plan and reviewing it carefully with the client
C) teaching the client about the disorder at the client - s level of understanding
D) making a referral to an area agency for client followup
3. Mr. Lee comes to the clinic with thick green drainage around his eyelids. The nurse examiner takes his history and performs a physical examination, beginning with an eye history. General information the nurse should seek is:
A) type of employment.
B) burning or itchy sensation in the eyes.
C) position of the eyelids.
D) existence of floaters.
4. If Ms. Barrett - s distance vision is 20/30, which of the following statements is true?
A) The client can read from 20' what a person with normal vision can read at 30'.
B) The client can read from 30' what a person with normal vision can read at 20'.
C) The client can read the entire chart from 30'.
D) The client can read the chart from 20' with the left eye and from 30' with the right eye.
5. The nurse is teaching a client about communicable diseases and explains that a portal of entry is:
A) a vector.
B) a source, like contaminated water.
C) food.
D) the respiratory system.
A) agility
B) speed
C) body composition
D) risk factors
2. A nurse is trying to motivate a client toward more effective management of a therapeutic regimen. Which of the following actions by the nurse is most likely to be effective in increasing the clients motivation?
A) determining whether the client has any family or friends living nearby
B) developing a lengthy discharge plan and reviewing it carefully with the client
C) teaching the client about the disorder at the client - s level of understanding
D) making a referral to an area agency for client followup
3. Mr. Lee comes to the clinic with thick green drainage around his eyelids. The nurse examiner takes his history and performs a physical examination, beginning with an eye history. General information the nurse should seek is:
A) type of employment.
B) burning or itchy sensation in the eyes.
C) position of the eyelids.
D) existence of floaters.
4. If Ms. Barrett - s distance vision is 20/30, which of the following statements is true?
A) The client can read from 20' what a person with normal vision can read at 30'.
B) The client can read from 30' what a person with normal vision can read at 20'.
C) The client can read the entire chart from 30'.
D) The client can read the chart from 20' with the left eye and from 30' with the right eye.
5. The nurse is teaching a client about communicable diseases and explains that a portal of entry is:
A) a vector.
B) a source, like contaminated water.
C) food.
D) the respiratory system.
1. Right Answer: D
Explanation: A health assessment should focus on possible risk factors of the client. A risk factor is something that increases a persons chance for illness or injury. A health- risk appraisal is an assessment of the total person, including lifestyle and health behaviors. Health Promotion and Maintenance
2. Right Answer: C
Explanation: For maximum effectiveness, teach the client about the disorder at the clients level of understanding. Health Promotion and Maintenance
3. Right Answer: A
Explanation: Data belonging in a general health history of the eye includes employment, activities, allergies, medications, lenses, and protective devices used. Exposure to irritants and activity risks should be delineated. Routine care of eyes and eye devices should be explored. Health Promotion and Maintenance
4. Right Answer: A
Explanation: The numerator, which is always 20, is the distance in feet between the chart and the client. The denominator, which ranges from 10 to 200, indicates the distance at which a normal eye can read the chart. The eye chart the nurse uses is the Snellen chart, which assesses distance vision. Health Promotion and Maintenance
5. Right Answer: D
Explanation: The path by which a microorganism enters the body is the portal of entry. A vector is a carrier of disease, a source (like bad water or food) can be a reservoir of disease. Safety and Infection Control
Explanation: A health assessment should focus on possible risk factors of the client. A risk factor is something that increases a persons chance for illness or injury. A health- risk appraisal is an assessment of the total person, including lifestyle and health behaviors. Health Promotion and Maintenance
2. Right Answer: C
Explanation: For maximum effectiveness, teach the client about the disorder at the clients level of understanding. Health Promotion and Maintenance
3. Right Answer: A
Explanation: Data belonging in a general health history of the eye includes employment, activities, allergies, medications, lenses, and protective devices used. Exposure to irritants and activity risks should be delineated. Routine care of eyes and eye devices should be explored. Health Promotion and Maintenance
4. Right Answer: A
Explanation: The numerator, which is always 20, is the distance in feet between the chart and the client. The denominator, which ranges from 10 to 200, indicates the distance at which a normal eye can read the chart. The eye chart the nurse uses is the Snellen chart, which assesses distance vision. Health Promotion and Maintenance
5. Right Answer: D
Explanation: The path by which a microorganism enters the body is the portal of entry. A vector is a carrier of disease, a source (like bad water or food) can be a reservoir of disease. Safety and Infection Control
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