Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions - Part 56

1. In teaching bleeding precautions to a client with leukemia, the PN should include which of the following instructions?

A) Use a soft toothbrush.
B) Use dental floss daily.
C) Hold pressure on any scrapes for 1 - 2 minutes.
D) Use a triple-edged razor.

2. Which of the following describes the stages of domestic violence in an intimate relationship?

A) happiness, crisis, angry outburst, intervention
B) honeymoon period, escalation of stress, outburst, reconciliation
C) acting out and making up
D) peace and calm, angry outburst, peace and calm, denial

3. Which of the following statements is correct regarding rape?

A) Most rapes are reported.
B) Legally, a woman can be raped by her spouse.
C) Prosecution and conviction for rape is easy.
D) The most common location of rape is the victim - s own home.

4. An effective intervention for a client diagnosed with Obsessive-Compulsive Disorder is:

A) discussing the repetitive action.
B) insisting the client not perform the repetitive act.
C) informing the client that the act is not necessary.
D) encouraging daily exercise.

5. A man reports his wife is constantly cleaning. The activity has interfered with the family life. Friends have stopped visiting because she makes them uncomfortable. He states he has awakened in the middle of the night and found her cleaning. The nurse should consult with the couple and recommend the husband help with therapy by:

A) telling his wife to stop cleaning whenever he notices her actions.
B) making a baseline record of the time the wife spends cleaning.
C) decreasing the stimuli in the home.
D) helping his wife with the cleaning.

1. Right Answer: A
Explanation: A soft toothbrush is less likely to cause the gums to bleed than a stiff one. So many white cells are produced in clients with leukemias that other cell types (like platelets) are crowded out, putting the client at risk for bleeding. Choice 2 is incorrect because dental floss is contraindicated; it can make the gums bleed. Choice3 is incorrect because when clotting is impaired, pressure should be held for 510 minutes or longer, until the bleeding stops. Choice 4 is incorrect because an electric razor should be used to prevent small cuts. Physiological Adaptation

2. Right Answer: B
Explanation: A pattern of behavior known as the cycle of abuse has been described in the literature. It involves a honeymoon stage, followed by a buildup of stress, an angry outburst that might involve beating, reconciliation, and another honeymoon phase. Clients who do not receive help are at increased risk of harm, which might include homicide. Psychosocial Integrity

3. Right Answer: B
Explanation: The definition of rape is sexual intercourse against someones will. It is a degrading, brutal crime of violence and can occur between any two persons regardless of their marital status. Psychosocial Integrity

4. Right Answer: D
Explanation: Obsessive-Compulsive Disorder is an anxiety disorder. Exercise releases emotional energy, limits time for the maladaptive behavior, and directs the clients attention outward. Initially, nurses should not interfere with performance of the repetitive act, try reasoning the client out of the behavior, or ridicule the behavior.Psychosocial Integrity

5. Right Answer: C
Explanation: His wife is exhibiting obsessive-compulsive behavior. Because this is an anxiety disorder, it is desirable to maintain an environment that is calm and as stress free as possible. Attempting to stop or focusing on the behavior can increase the wifes anxiety and therefore the repetitive behavior.Psychosocial Integrity

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