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NCLEX-PN Exam Questions - Part 122
1. A nurse is covering a pediatric unit and is responsible for a 15 year-old male patient on the floor. The mother of the child states, 'I think my son is sexually interested in girls.' The most appropriate course of action of the nurse is to respond by stating:
A) 'I will talk to the doctor about it.'
B) 'Has this been going on for a while?'
C) 'How do you know this?'
D) 'Teenagers often exhibit signs of sexual interest in females.'
2. A high school nurse observes a 14 year-old female rubbing her scalp excessively in the gym. The most appropriate course of action for the nurse to do is:
A) Request a private evaluation of the female - s scalp from her parents.
B) Contact the female - s parents about the observations.
C) Observe the hairline and scalp for possible signs of lice.
D) Contact the student - s physician.
3. A nurse is caring for a patient who has recently been diagnosed with fibromyalgia and COPD. Which of the following tasks should the nurse delegate to a nursing assistant?
A) Transferring the patient to the shower.
B) Ambulating the patient for the first time.
C) Taking the patient - s breath sounds
D) Educating the patient on monitoring fatigue
4. A nurse has been instructed to place an IV line in a patient that has active TB and HIV. The nurse should wear which of the following safety equipment?
A) Sterile gloves, mask, and goggles
B) Surgical cap, gloves, mask, and proper shoewear
C) Double gloves, gown, and mask
D) Goggles, mask, gloves, and gown
5. A nurse is instructing a person who had a left CVA and right lower extremity hemiparesis to use a quad cane. Which of the following is the most appropriate gait sequence?
A) Place the cane in the patient - s left upper extremity, encourage cane, then right lower extremity, then left upper extremity gait sequence.
B) Place the cane in the patient - s left upper extremity, encourage cane, then left lower extremity, then right upper extremity gait sequence.
C) Place the cane in the patient - s right upper extremity, encourage cane, then right lower extremity, then left upper extremity gait sequence.
D) Place the cane in the patient - s right upper extremity, encourage cane, then left lower extremity, then right upper extremity gait sequence.
A) 'I will talk to the doctor about it.'
B) 'Has this been going on for a while?'
C) 'How do you know this?'
D) 'Teenagers often exhibit signs of sexual interest in females.'
2. A high school nurse observes a 14 year-old female rubbing her scalp excessively in the gym. The most appropriate course of action for the nurse to do is:
A) Request a private evaluation of the female - s scalp from her parents.
B) Contact the female - s parents about the observations.
C) Observe the hairline and scalp for possible signs of lice.
D) Contact the student - s physician.
3. A nurse is caring for a patient who has recently been diagnosed with fibromyalgia and COPD. Which of the following tasks should the nurse delegate to a nursing assistant?
A) Transferring the patient to the shower.
B) Ambulating the patient for the first time.
C) Taking the patient - s breath sounds
D) Educating the patient on monitoring fatigue
4. A nurse has been instructed to place an IV line in a patient that has active TB and HIV. The nurse should wear which of the following safety equipment?
A) Sterile gloves, mask, and goggles
B) Surgical cap, gloves, mask, and proper shoewear
C) Double gloves, gown, and mask
D) Goggles, mask, gloves, and gown
5. A nurse is instructing a person who had a left CVA and right lower extremity hemiparesis to use a quad cane. Which of the following is the most appropriate gait sequence?
A) Place the cane in the patient - s left upper extremity, encourage cane, then right lower extremity, then left upper extremity gait sequence.
B) Place the cane in the patient - s left upper extremity, encourage cane, then left lower extremity, then right upper extremity gait sequence.
C) Place the cane in the patient - s right upper extremity, encourage cane, then right lower extremity, then left upper extremity gait sequence.
D) Place the cane in the patient - s right upper extremity, encourage cane, then left lower extremity, then right upper extremity gait sequence.
1. Right Answer: D
Explanation: Adolescents exhibiting signs of sexual development and interest are normal.
2. Right Answer: C
Explanation: Observation of the students hair is the next step.
3. Right Answer: A
Explanation: Nursing assistants should be competent on all transfers.
4. Right Answer: D
Explanation: All protective measures must be worn, it is not required to double glove.
5. Right Answer: A
Explanation: The cane should be placed in the patients strong upper extremity, and left arm/right foot go together, for normal gait.
Explanation: Adolescents exhibiting signs of sexual development and interest are normal.
2. Right Answer: C
Explanation: Observation of the students hair is the next step.
3. Right Answer: A
Explanation: Nursing assistants should be competent on all transfers.
4. Right Answer: D
Explanation: All protective measures must be worn, it is not required to double glove.
5. Right Answer: A
Explanation: The cane should be placed in the patients strong upper extremity, and left arm/right foot go together, for normal gait.
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