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NCLEX-PN Exam Questions - Part 32
1. A hospitalized client has just been informed that he has terminal cancer. He says to the nurse, 'There must be some mistake in the diagnosis.' The nurse determines that the client is demonstrating which of the following?
A) denial
B) anger
C) bargaining
D) acceptance
2. The nurse is caring for a client who is dying. While assessing the client for signs of impending death, the nurse observes the client for:
A) elevated blood pressure.
B) Cheyne-Stokes respiration.
C) elevated pulse rate.
D) decreased temperature.
3. A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:
A) review their own cultural beliefs and biases.
B) respectfully request that the couple utilize only medically approved health care providers.
C) realize that the clients have to learn their new country - s accepted medical practices.
D) study family dynamics to understand the male and female gender roles in the clients - culture.
4. Nursing considerations when caring for African- American clients include that:
A) families are generally distant and unsupportive.
B) special hair, skin, and nail care might be required.
C) fad diets are a cultural norm.
D) clients are generally future-oriented.
5. Which of the following ethnic groups is at highest risk in the United States for pesticide-related injuries?
A) Native American
B) Asian-Pacific
C) Norwegian
D) Hispanic
A) denial
B) anger
C) bargaining
D) acceptance
2. The nurse is caring for a client who is dying. While assessing the client for signs of impending death, the nurse observes the client for:
A) elevated blood pressure.
B) Cheyne-Stokes respiration.
C) elevated pulse rate.
D) decreased temperature.
3. A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:
A) review their own cultural beliefs and biases.
B) respectfully request that the couple utilize only medically approved health care providers.
C) realize that the clients have to learn their new country - s accepted medical practices.
D) study family dynamics to understand the male and female gender roles in the clients - culture.
4. Nursing considerations when caring for African- American clients include that:
A) families are generally distant and unsupportive.
B) special hair, skin, and nail care might be required.
C) fad diets are a cultural norm.
D) clients are generally future-oriented.
5. Which of the following ethnic groups is at highest risk in the United States for pesticide-related injuries?
A) Native American
B) Asian-Pacific
C) Norwegian
D) Hispanic
1. Right Answer: A
Explanation: Denial (Kbler-Rosss Stages of Grieving) is the refusal to believe that loss is happening. Psychosocial Integrity
2. Right Answer: B
Explanation: Cheyne-Stokes respirations are rhythmic waxing and waning of respirations from very deep breathing to very shallow breathing with periods of temporary apnea, often associated with cardiac failure. This can be a sign of impending death. Psychosocial Integrity
3. Right Answer: A
Explanation: The nurse needs to recognize her own beliefs and biases and learn about the clients cultural beliefs. Psychosocial Integrity
4. Right Answer: B
Explanation: Special hair, skin, and nail care might be required for African-American clients. Psychosocial Integrity
5. Right Answer: D
Explanation: Because Hispanic people represent a large percentage of migrant workers in the United States, many work in agricultural settings and might be exposed to pesticides, putting them at higher risk than the other groups. Safety and Infection Control
Explanation: Denial (Kbler-Rosss Stages of Grieving) is the refusal to believe that loss is happening. Psychosocial Integrity
2. Right Answer: B
Explanation: Cheyne-Stokes respirations are rhythmic waxing and waning of respirations from very deep breathing to very shallow breathing with periods of temporary apnea, often associated with cardiac failure. This can be a sign of impending death. Psychosocial Integrity
3. Right Answer: A
Explanation: The nurse needs to recognize her own beliefs and biases and learn about the clients cultural beliefs. Psychosocial Integrity
4. Right Answer: B
Explanation: Special hair, skin, and nail care might be required for African-American clients. Psychosocial Integrity
5. Right Answer: D
Explanation: Because Hispanic people represent a large percentage of migrant workers in the United States, many work in agricultural settings and might be exposed to pesticides, putting them at higher risk than the other groups. Safety and Infection Control
80% DISCOUNT: SPHR PRACTICE EXAMS
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