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NCLEX-PN Exam Questions - Part 91
1. Client room environments should include:
A) a made bed, fresh water, thermostat regulation, and clean floors in all occupied client areas.
B) a made bed, comfort and safety, a clutter-free area, hygiene articles nearby.
C) accident prevention, comfort, a room (including furniture) that has been cleaned with chloroseptic wash, a bed that is made every other day.
D) odor control (by spraying the room with deodorizers), closet storage of all client objects, a clean room. (Gloves should be worn when cleaning.)
2. When a client who is 25 years of age asks the nurse when she should seek fertility counseling, the best response by the nurse is:
A) 'Fertility counseling should be sought when you have been unable to conceive after 1 year of unprotected intercourse.'
B) 'Fertility couseling should be sought when you have not been able to conceive after 6 - 9 months of unprotected intercourse.'
C) 'The average time it takes someone your age to conceive is 51â?2 months, so if you haven - t conceived by then, we can refer you.'
D) 'We can give you some guidance now on how to increase your chances of conceiving and then refer you if it doesn - t happen within a year.'
3. When a couple experiencing infertility presents for a fertility workup, which of the following procedures should the nurse prepare the couple to have first?
A) hysterosalpingography
B) semen analysis
C) endometrial biopsy
D) transvaginal ultrasound
4. Which of the following actions should a nurse take first for a client who has just vomited 300 cc of bright red blood?
A) Document the vomiting.
B) Increase the IV fluids.
C) Get a complete blood count.
D) Check the blood pressure.
5. Which of the following statements indicates adequate dietary understanding in a client with constipation?
A) 'I should decrease my intake of fluids.'
B) 'I should decrease my level of activity.'
C) 'I should increase my intake of apples.'
D) 'I should increase my intake of milk.'
A) a made bed, fresh water, thermostat regulation, and clean floors in all occupied client areas.
B) a made bed, comfort and safety, a clutter-free area, hygiene articles nearby.
C) accident prevention, comfort, a room (including furniture) that has been cleaned with chloroseptic wash, a bed that is made every other day.
D) odor control (by spraying the room with deodorizers), closet storage of all client objects, a clean room. (Gloves should be worn when cleaning.)
2. When a client who is 25 years of age asks the nurse when she should seek fertility counseling, the best response by the nurse is:
A) 'Fertility counseling should be sought when you have been unable to conceive after 1 year of unprotected intercourse.'
B) 'Fertility couseling should be sought when you have not been able to conceive after 6 - 9 months of unprotected intercourse.'
C) 'The average time it takes someone your age to conceive is 51â?2 months, so if you haven - t conceived by then, we can refer you.'
D) 'We can give you some guidance now on how to increase your chances of conceiving and then refer you if it doesn - t happen within a year.'
3. When a couple experiencing infertility presents for a fertility workup, which of the following procedures should the nurse prepare the couple to have first?
A) hysterosalpingography
B) semen analysis
C) endometrial biopsy
D) transvaginal ultrasound
4. Which of the following actions should a nurse take first for a client who has just vomited 300 cc of bright red blood?
A) Document the vomiting.
B) Increase the IV fluids.
C) Get a complete blood count.
D) Check the blood pressure.
5. Which of the following statements indicates adequate dietary understanding in a client with constipation?
A) 'I should decrease my intake of fluids.'
B) 'I should decrease my level of activity.'
C) 'I should increase my intake of apples.'
D) 'I should increase my intake of milk.'
1. Right Answer: B
Explanation: Preparing a clients room environment should include making the clients bed, ensuring comfort and safety at all times, keeping the area free of clutter, and keeping the clients hygiene articles nearby. All procedures should be explained before they are performed, and the client should assist with personal arrangement of articles. Basic Care and Comfort
2. Right Answer: D
Explanation: The guidelines for a fertility workup are to refer after the couple has not conceived after one year of unprotected intercourse. So, Choice 1 is technically correct, but it doesnt consider the immediate need for the couple to have some counseling. Choice 4 is the best answer because it gives the couple guidance now and the referral at the appropriate time. If the woman is over the age of 35, an earlier referral, at six to nine months of unprotected intercourse, is appropriate. It is true that the average time it takes a 25-year-old woman to conceive is 5.3 months, but that does not address the concern the client is expressing. Choice 4 is still the most caring and correct answer. Couples conceive within the first month of unprotected intercourse 20% of the time. Health Promotion and Maintenance
3. Right Answer: B
Explanation: Because semen analysis is the least invasive of the tests listed and because in 35% of the cases the infertility is related to a male factor, semen analysis should be one of the first diagnostic tests performed. Hysterosalpingography fills the uterus and fallopian tubes with a radiopaque substance that can be seen with an X ray. It demonstrates tubal patency or any distortion of the uterine cavity. Endometrial biopsy provides information about the effects of progesterone after ovulation and the endometrial receptivity. Transvaginal ultrasound is mostly used in the treatment of infertility. For diagnosis it allows the endocrinologist to evaluate the developing follicle, assess oocyte maturity, and diagnose luteal phase defects. All the tests listed in Choices 1, 3, and 4 are more invasive, require greater expertise to evaluate and treat, and are more costly. If the semen analysis is normal, the couple can expect to progress through these tests as well. HealthPromotion and Maintenance
4. Right Answer: D
Explanation: The blood pressure should be checked first for a client who has just vomited 300 cc of bright red blood, to determine whether the client is hypotensive. The other actions can be taken later. Reduction of Risk Potential
5. Right Answer: C
Explanation: Apples are a source of high fiber, which decreases constipation. A constipated client needs to increase fluids and activity level. Milk is not a high-fiber food.Reduction of Risk Potential
Explanation: Preparing a clients room environment should include making the clients bed, ensuring comfort and safety at all times, keeping the area free of clutter, and keeping the clients hygiene articles nearby. All procedures should be explained before they are performed, and the client should assist with personal arrangement of articles. Basic Care and Comfort
2. Right Answer: D
Explanation: The guidelines for a fertility workup are to refer after the couple has not conceived after one year of unprotected intercourse. So, Choice 1 is technically correct, but it doesnt consider the immediate need for the couple to have some counseling. Choice 4 is the best answer because it gives the couple guidance now and the referral at the appropriate time. If the woman is over the age of 35, an earlier referral, at six to nine months of unprotected intercourse, is appropriate. It is true that the average time it takes a 25-year-old woman to conceive is 5.3 months, but that does not address the concern the client is expressing. Choice 4 is still the most caring and correct answer. Couples conceive within the first month of unprotected intercourse 20% of the time. Health Promotion and Maintenance
3. Right Answer: B
Explanation: Because semen analysis is the least invasive of the tests listed and because in 35% of the cases the infertility is related to a male factor, semen analysis should be one of the first diagnostic tests performed. Hysterosalpingography fills the uterus and fallopian tubes with a radiopaque substance that can be seen with an X ray. It demonstrates tubal patency or any distortion of the uterine cavity. Endometrial biopsy provides information about the effects of progesterone after ovulation and the endometrial receptivity. Transvaginal ultrasound is mostly used in the treatment of infertility. For diagnosis it allows the endocrinologist to evaluate the developing follicle, assess oocyte maturity, and diagnose luteal phase defects. All the tests listed in Choices 1, 3, and 4 are more invasive, require greater expertise to evaluate and treat, and are more costly. If the semen analysis is normal, the couple can expect to progress through these tests as well. HealthPromotion and Maintenance
4. Right Answer: D
Explanation: The blood pressure should be checked first for a client who has just vomited 300 cc of bright red blood, to determine whether the client is hypotensive. The other actions can be taken later. Reduction of Risk Potential
5. Right Answer: C
Explanation: Apples are a source of high fiber, which decreases constipation. A constipated client needs to increase fluids and activity level. Milk is not a high-fiber food.Reduction of Risk Potential
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