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NCLEX-RN Exam Questions - Part 55
1. A young boy tells the nurse, 'I don - t like my Dad to kiss or hug my Mom. I love my Mom and want to marry her.' The nurse recognizes this stage of growth and development as:
A) Electra complex
B) Oedipus complex
C) Superego
D) Ego
2. A client was prescribed a major tranquilizer 2 months ago. One month ago she was placed on benztropine (Cogentin). What would indicate that benztropine therapy is effective?
A) Smooth, coordinated voluntary movement
B) Tremors
C) Rigidity
D) Muscle weakness
3. A 4-year-old child has Down syndrome. The community health nurse has coordinated a special preschool program. The nurse - s primary goal is to:
A) Provide respite care for the mother
B) Facilitate optimal development
C) Provide a demanding and challenging educational program
D) Prepare child to enter mainstream education
4. A 13-year-old hemophiliac is hospitalized for hemarthrosis of his right knee. To relieve the pain, the nurse should:
A) Place on bed rest; elevate and splint the right knee
B) Apply moist heat to the right knee
C) Administer aspirin for pain
D) Encourage active range of motion to right knee
5. A 3-month-old infant has had a unilateral cleft lip repair. He has resumed feedings of oral formula. The nurse should feed the infant with:
A) Gavage tube
B) Nipple and bottle
C) A straw and cup
D) Syringe
A) Electra complex
B) Oedipus complex
C) Superego
D) Ego
2. A client was prescribed a major tranquilizer 2 months ago. One month ago she was placed on benztropine (Cogentin). What would indicate that benztropine therapy is effective?
A) Smooth, coordinated voluntary movement
B) Tremors
C) Rigidity
D) Muscle weakness
3. A 4-year-old child has Down syndrome. The community health nurse has coordinated a special preschool program. The nurse - s primary goal is to:
A) Provide respite care for the mother
B) Facilitate optimal development
C) Provide a demanding and challenging educational program
D) Prepare child to enter mainstream education
4. A 13-year-old hemophiliac is hospitalized for hemarthrosis of his right knee. To relieve the pain, the nurse should:
A) Place on bed rest; elevate and splint the right knee
B) Apply moist heat to the right knee
C) Administer aspirin for pain
D) Encourage active range of motion to right knee
5. A 3-month-old infant has had a unilateral cleft lip repair. He has resumed feedings of oral formula. The nurse should feed the infant with:
A) Gavage tube
B) Nipple and bottle
C) A straw and cup
D) Syringe
1. Right Answer: B
Explanation: (A) The Electra complex is the erotic attachment of the female child to the father. (B) The Oedipus complex is characterized by jealousy toward the parent of the same sex and erotic attachment to the parent of the opposite sex. (C) The superego as described by Freud is the part of personality that is associated with internalized parental and societal control. (D) The ego as described by Freud is the part of personality that is associated with reality assessment.
2. Right Answer: A
Explanation: (A) Benztropine is prescribed to decrease or alleviate extrapyramidal side effects of major tranquilizers. Smooth, coordinated voluntary movement indicates minimal extrapyramidal side effects. (B) Tremors are an extrapyramidal side effect. (C) Rigidity is an extrapyramidal side effect. (D) Muscle weakness is an extrapyramidal side effect.
3. Right Answer: B
Explanation: (A) Respite care for the family may be needed, but it is not the primary goal of a preschool program. (B) Facilitation of optimal growth and development is essential for every child. (C) A demanding and challenging educational program may predispose the child to failure. Children with retardation should begin with simple and challenging educational programs. (D) Mental retardation associated with Down syndrome may not permit mainstream education. A preschoolprograms primary goal is not preparation for mainstream education but continuation of optimal development.
4. Right Answer: A
Explanation: (A) Immobilization, splinting, and bed rest will reduce the bleeding. Once bleeding is reduced or stopped, the pain will subside. (B) Moist heat causes vasodilation and bleeding. Ice or cold compresses should be applied. (C) Aspirin decreases platelet aggregation, which causes bleeding. (D) Active range of motion aggravates bleeding and damages the synovial sac during bleeding episodes.
5. Right Answer: D
Explanation: (A) A gavage tube may damage suture line. It is the most invasive and should be the last measure. (B) A nipple and bottle require sucking, which may damage sutures. (C) A 3-month-old infant is not able to drink from a straw. (D) A syringe allows for the formula to be placed to the side and back of the mouth. This minimizes the amount of sucking needed.
Explanation: (A) The Electra complex is the erotic attachment of the female child to the father. (B) The Oedipus complex is characterized by jealousy toward the parent of the same sex and erotic attachment to the parent of the opposite sex. (C) The superego as described by Freud is the part of personality that is associated with internalized parental and societal control. (D) The ego as described by Freud is the part of personality that is associated with reality assessment.
2. Right Answer: A
Explanation: (A) Benztropine is prescribed to decrease or alleviate extrapyramidal side effects of major tranquilizers. Smooth, coordinated voluntary movement indicates minimal extrapyramidal side effects. (B) Tremors are an extrapyramidal side effect. (C) Rigidity is an extrapyramidal side effect. (D) Muscle weakness is an extrapyramidal side effect.
3. Right Answer: B
Explanation: (A) Respite care for the family may be needed, but it is not the primary goal of a preschool program. (B) Facilitation of optimal growth and development is essential for every child. (C) A demanding and challenging educational program may predispose the child to failure. Children with retardation should begin with simple and challenging educational programs. (D) Mental retardation associated with Down syndrome may not permit mainstream education. A preschoolprograms primary goal is not preparation for mainstream education but continuation of optimal development.
4. Right Answer: A
Explanation: (A) Immobilization, splinting, and bed rest will reduce the bleeding. Once bleeding is reduced or stopped, the pain will subside. (B) Moist heat causes vasodilation and bleeding. Ice or cold compresses should be applied. (C) Aspirin decreases platelet aggregation, which causes bleeding. (D) Active range of motion aggravates bleeding and damages the synovial sac during bleeding episodes.
5. Right Answer: D
Explanation: (A) A gavage tube may damage suture line. It is the most invasive and should be the last measure. (B) A nipple and bottle require sucking, which may damage sutures. (C) A 3-month-old infant is not able to drink from a straw. (D) A syringe allows for the formula to be placed to the side and back of the mouth. This minimizes the amount of sucking needed.
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