Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions - Part 58

1. Which of the following strategies should the nurse include when planning care for children of migrant workers?

A) Delay immunization because of acute illness.
B) Provide parents with copies of medical records.
C) Schedule preventive services at acute illness visits.
D) Stress the importance of using one primary care provider.

2. When assessing a client with amytrophic lateral sclerosis (ALS), the nurse should expect which of the following findings?

A) mental confusion
B) muscular weakness
C) sensory loss
D) emotional liability

3. A Hispanic client brings her father to the clinic because he is becoming more forgetful. He is diagnosed with Alzheimers disease. The woman tells the nurse that she wants to try ginkgo biloba for her father, before using prescription medications. Which of the following is an appropriate response by the nurse?

A) 'It is wiser to start a prescription.'
B) 'That herb won - t do your father any good.'
C) 'You can - t expect an herb to treat Alzheimer - s.'
D) 'I will let the physician know of your wishes.'

4. Which of the following statements by an adult child of a client with late-stage Alzheimer - s disease indicates a need for further teaching by the nurse?

A) 'I should provide a regular schedule for toileting.'
B) 'I should talk to my father less because he can - t communicate.'
C) 'I should give my father oral care after every meal and bedtime.'
D) 'I should assist my father with eating and drinking.'

5. An Asian family has an elderly member with latestage Alzheimers disease. The physician has recommended placement in a long-term care facility, but the family refuses. Which of the following is an appropriate response to the family by the nurse?

A) 'You really need to listen to what the physician says.'
B) 'You will get too tired to take care of him at home.'
C) 'What can I do to assist you to care for him at home?'
D) 'You are too busy to be taking care of an elderly person.'

1. Right Answer: B
Explanation: Migrant workers should be provided with the medical records and immunization records for their children, including growth charts. The parents should also be encouraged to take those records with them to every health care visit, including Emergency Department visits. It is important to provide immunizations even when the child is there for an acute illness because preventive care is often not obtained. Preventive services should also be provided, not scheduled, when a child presents for an acute illness. Using a single primary care provider is not an option for most migrant families. The nurse should ask the parents about where they are going next and give them the name, address, and phone numbers of providers there. Health Promotion and Maintenance

2. Right Answer: B
Explanation: Clients with ALS have progressive muscular weakness and wasting. However, the mind remains clear and sharp, and there is no sensory loss. There might be periods of grieving, but usually not emotional liability. Reduction of Risk Potential

3. Right Answer: D
Explanation: The culturally sensitive response is to notify the physician of the family members wishes and to determine whether it is feasible. Ginkgo biloba has been shown to be of some benefit in treating dementia. The other statements are not culturally sensitive. Reduction of Risk Potential

4. Right Answer: B
Explanation: Even though an Alzheimers client might not be able to talk or communicate his needs, the family should still communicate through talking and touching. The other statements are correct and indicate adequate understanding. Reduction of Risk Potential

5. Right Answer: C
Explanation: This is the only culturally sensitive statement. Many Asian cultures have a high respect for elders, and members of these cultures might not consider placement in a long-term care facility. This is because they feel it is more respectful for them to care for the family member at home. The nurse might be able to assist the family by determining what community resources are available to assist them. Reduction of Risk Potential

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