Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 93
Questions 1. Nonpharmacological pain management involves all of the following except:A) hypnosis alone.B) psychological care, including support groups.C) physical and psychological modalities.D) pain-reducing drugs only.2. The nurse is using Cognitive-Behavioral methods of pain control and knows that the these methods can be expected to do all the following except:A) completely relieve all pain.B) provide benefit by restoring the client - s sense of self-control.C) help the client to control symptoms.D) help the client actively participate in his or her own care.3. Which is an appropriate outcome for the nursing diagnosis of Body Image Disturbance for a client with anorexia nervosa?A) The client verbalizes knowledge of a maintenance diet.B) The client demonstrates assertiveness with family.C) The client verbalizes her body size accurately.D) The client demonstrates control of obsessive behaviors.4. Which type of diet should the nurse provide to help a client who has major burns maintain a positive nitrogen balance?A) high proteinB) high carbohydrateC) low carbohydrateD) low protein5. As part of the teaching plan for a client with type I diabetes mellitus, the nurse should include that carbohydrate needs might increase when:A) an infection is present.B) there is an emotional upset.C) a large meal is eaten.D) active exercise is performed. Right Answer and Explanation: 1. Right Answer: DExplanation: All physical and psychosocial therapies can be used concurrently with drugs and other modalities to manage pain. These interventions can be carried out by the nurse with the client and family. Basic Care and Comfort2. Right Answer: AExplanation: These interventions (strategies) help the client in all areas of client well-being. Focusing on perception and thought, cognitive techniques are designed to influence how one interprets events and bodily sensations. Basic Care and Comfort3. Right Answer: CExplanation: Part of the problem for anorexic clients is an altered view of their body appearance (visualizing themselves as fat even when they are emaciated). Choice 1 involves a knowledge deficit. Choice 2 involves possible resolution of family-dynamic issues. Choice 4 involves psychological adaptation. Basic Care and Comfort4. Right Answer: AExplanation: Clients with burns are hypermetabolic and require increased protein levels to maintain a positive nitrogen balance. Choices 2 and 3 are incorrect; carbohydrate levels do not help clients to meet this goal. Choice 4 is incorrect; a client with major burns requires a high-protein diet. Basic Care and Comfort5. Right Answer: DExplanation: Active exercise increases insulin sensitivity, thus lowering blood glucose levels. Additional carbohydrates might be needed to balance the usual insulin dose. All of the other choices increase blood glucose levels. Basic Care and Comfort .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 94
Questions 1. The NSAID that is comparable to morphine in efficacy is:A) Feldene.B) Stodal.C) Toradol.D) Elavil.2. Pain tolerance in an elderly client with cancer should:A) Stay the same.B) Decrease.C) Increase.D) Cancer should have no effect on pain tolerance for an elderly client.3. In administering NSAID adjunctive therapy to an elderly client with cancer, the nurse must monitor:A) BUN and creatinine.B) creatinine and calcium.C) Hgb and Hct.D) BUN and CFT.4. Appropriate care for a client with neutropenia includes:A) plenty of fresh fruits and vegetables.B) a semi-private room.C) wearing a mask when out of the room.D) routine hand washing.5. The PN is caring for a client with diabetes insipidus. The nurse can expect the lab work to show:A) elevated urine osmolarity and elevated serum osmolarity.B) decreased urine osmolarity and decreased serum osmolarity.C) elevated urine osmolarity and decreased serum osmolarity.D) decreased urine osmolarity and elevated serum osmolarity. Right Answer and Explanation: 1. Right Answer: CExplanation: Toradol is the first injectable NSAID equal to morphine in efficacy. Basic Care and Comfort2. Right Answer: BExplanation: There is potential for a lowered pain tolerance to exist with diminished adaptative capacity. Basic Care and Comfort3. Right Answer: AExplanation: Elder adults might be more at risk for gastric and renal toxicity, increasing among elder adults. Basic Care and Comfort4. Right Answer: CExplanation: When a client is neutropenic (one type of white blood cell), they lack the ability to fight off infection. The mask is to prevent exposure to any upper-respiratory infections. Fresh fruits, vegetables, and flowers can contain pathogens that might infect the neutropenic client. All foods must be thoroughly cooked and plants/ flowers are not allowed. A neutropenic client needs a private room and carefully screened visitors no one is to enter the room with anysymptoms of an illness(runny nose, sneezing, nausea, and so on). Meticulous, frequent hand washing is called for. Physiological Adaptation5. Right Answer: DExplanation: In diabetes insipidus, the pituitary releases too much antidiuretic hormone (ADH) causing the client to produce a large amount of dilute (decreased osmolarity) urine and causing dehydration (elevated serum osmolarity). Choice 3 might be seen in a client with SIADH (syndrome ofinappropriate ADH). Choices 1 and 2 generally dont occur urine and serum osmolarity typically move in opposite directions. Physiological Adaptation .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 95
Questions 1. If a client is suffering from thyroid storm, the PN can expect to find on assessment:A) tachycardia and hyperthermia.B) bradycardia and hypothermia.C) a large goiter.D) a calm, quiet client.2. The best nursing diagnosis for a client with newly diagnosed Diabetes Mellitus is:A) Impaired Skin Integrity.B) Knowledge Deficit: New Diabetes Diagnosis.C) Alteration in Nutrition: More than Body Requirements.D) Fluid Volume Deficit.3. After group therapy, the female victim of intimatepartner violence confides to the nurse that she does not feel in any immediate danger. Which of the following statements about victims of domestic violence is true?A) Victims of domestic violence are often the best predictors of their risk of harm.B) Victims of domestic violence often overestimate their safety risk.C) Victims of domestic violence are typically in a state of denial.D) Victims of domestic violence know that keeping peace with their partner is the best method of preventing another attack.4. A 32-year-old female frequently comes to her primary care provider with vague complaints of headache, abdominal pain, and trouble sleeping. In the past, the physician has dutifully prescribed medication, but little else. Which of the following comments by the nurse to the physician is appropriate?A) 'Often women who are victims of domestic violence suffer vague symptoms such as abdominal pain.'B) 'Often women become offended if asked about their safety in relationships.'C) 'It is mandatory that all women be questioned about domestic violence.'D) 'How would you feel to know that her partner is beating her and you didn - t ask?'5. A client reports that someone is in the room and trying to kill him. The nurse - s best response is:A) 'No one is in your room. Let - s get you more medicine.'B) 'I do not see anyone, but you seem to be very frightened.'C) 'No one can hurt you here.'D) 'Just tell the person to go away.' Right Answer and Explanation: 1. Right Answer: AExplanation: In thyroid storm, there is too much thyroxine, causing the client to go faster. Atrial fibrillation and palpitations are also frequently seen. Choices 2, 3, and 4 are associated with hypothyroidism. Physiological Adaptation2. Right Answer: BExplanation: Newly diagnosed diabetics need to learn about their disease, medications, glucose testing, possibly insulin injections, foot care, sick-day plans, and so forth.Choices 1 and 4 are diagnoses to prevent, but no evidence suggests that they exist at this point. Diabetics might have more or less nutrition than body requirements type II is likely to be more, but type I is likely to be less. Physiological Adaptation3. Right Answer: AExplanation: Victims of domestic violence are often correct at predicting their risk of harm. However, the nurse should ensure that the client is expressing herself authentically and is not trying to convince the nurse that there is no immediate danger. Further, proper authorities, such as the police, should be alerted to this reportable offense. Psychosocial Integrity4. Right Answer: AExplanation: There is a correlation between vague symptoms, such as abdominal pain, and battered syndrome. The astute clinician should question any woman who presents with suspicious symptoms such as these. Rarely are women offended by a properly worded question, such as, 'Do you feel safe in your present relationship?'Studies show an increase in case finding when such questions are asked. It is not mandatory that all women are assessed for violence, but it is prudent that all persons new to a clinician be assessed by at least the one question noted previously. Castigating or shaming the physician typically does not improve client outcomes and might make for a difficult working environment for the nurse. Tactless comments, like the one in Choice 4, are not collegial and should be avoided.Psychosocial Integrity5. Right Answer: BExplanation: It is important to acknowledges the clients fear. The other responses deny the clients perceptions. Psychosocial Integrity .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 96
Questions 1. Which of the following services is not part of family consultation?A) assisting with vocational rehabilitationB) providing information about the client - s illnessC) teaching effective communicationD) helping families solve problems2. A family member of a client with a diagnosis of Schizophrenia asks about the prognosis. The nurses response is based on the knowledge that schizophrenia:A) affects women more often than men.B) is usually diagnosed between the ages of 15 and 45.C) is a chronic, deteriorating disease with periods of remission.D) is diagnosed later in women due to a protective hormone effect.3. A client receiving preoperative instructions asks questions repeatedly about when to stop eating the night before the procedure. The nurse tries to refocus the client. The nurse notes that the client is frequently startled by noises in the hall. Assessment reveals rapid speech, trembling hands, tachypnea, tachycardia, and elevated blood pressure. The client admits to feeling nervous and having trouble sleeping. Based on the assessment, the nurse documents that the client has:A) mild anxiety.B) moderate anxiety.C) severe anxiety.D) a panic attack.4. The highest incident of child abuse occurs in children in which age group?A) birth - 3 years oldB) 4 - 6 years oldC) 6 - 10 years oldD) more than 10 years old5. An adult who had been abused as a child is discussing the group therapy program. Which statement indicates that the client has gained insight?A) 'I think I was a lonely child because I could not tell anyone about my abuse.'B) 'I am now aware of how deep-seated my anger is. Before I did not realize I was angry.'C) 'The program has given me the courage to tell my mother how I felt about her role in my hurt.'D) 'There are so many people just like me, who are just normal people that had bad things happen to them.' Right Answer and Explanation: 1. Right Answer: AExplanation: Family consultation does not involve vocational rehabilitation. It involves helping families deal with their feelings, focus, and find solutions. Choices 2, 3, and 4 are components of family consultation. Psychosocial Integrity2. Right Answer: CExplanation: Although all of the choices are true about schizophrenia, only Choice 3 answers the question asked. Psychosocial Integrity3. Right Answer: CExplanation: In severe anxiety, a client focuses on small or scattered details. The person is unable to solve problems. With mild anxiety, stimuli are readily perceived and processed, and the ability to learn and solve problems is enhanced. Moderate anxiety narrows the perceptual field, but the client notices things brought to his attention. During a panic attack, the person is disorganized and might be hyperactive or unable to speak or act. Psychosocial Integrity4. Right Answer: AExplanation: Children between birth and 3 years of age have the highest rates of victimization (at 16 per 1,000 children). Girls are slightly more likely to be victims than boys.Psychosocial Integrity5. Right Answer: BExplanation: Children who are abused learn to cope with the painful experiences by ignoring painful feelings and avoiding getting close to people. As adults, victims of abuse usually continue to repress feelings, avoid close interpersonal relationships, and frequently use alcohol or drugs to block painful memories. Long-term effects in adults might include criminal/violent behavior (for adult males), substance abuse, and a variety of social and emotional problems (including suicidal thoughts, anxiety, hostility, dissociation, and interpersonal difficulties). Psychosocial Integrity .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 97
Questions 1. If a client has chronic renal failure, which of the following sexual complications is the client at risk of developing?A) retrograde ejaculationB) decreased plasma testosteroneC) hypertrophy of testiclesD) state of euphoria2. When an elder client asks the nurse whether he will be capable of sexual activity in old age, the best response by the nurse is:A) 'Elder adults are psychologically and physically capable of engaging in sexual activity regardless of age-related changes.'B) 'If you haven - t been sexually active throughout your life, you will not be able to participate in sexual activity in old age.'C) 'When intercourse isn - t possible, many of your sexual needs can be met through intimacy and touch.'D) 'You might find it takes longer for you to achieve an erection, but you can maintain it for a longer time.'3. The teaching plan for gay or lesbian parents who want to disclose their homosexuality to their children should include all of the following instructions except:A) disclose the information before the child knows or suspects.B) be comfortable with your sexual preference first.C) have the discussion in a quiet place where interruptions are unlikely.D) explain how your relationship with the child changes because of the discussion.4. When a client describes their family as having multiple wives, all of whom are sisters, married to one man, the nurse documents the family structure as?A) polyandryB) soronalC) nonsororalD) sororate5. Which of the following syndromes associated with incomplete lesions of the spinal cord is a result of damage to one-half of the spinal cord?A) Brown-Séquard syndromeB) posterior cord syndromeC) central cord syndromeD) cauda equina syndrome Right Answer and Explanation: 1. Right Answer: BExplanation: Untreated chronic renal failure causes decreased testosterone levels, atrophy of testicles, and decreased spermatogenesis. Retrograde ejaculation is not a complication of chronic renal failure. It is a complication of transurethral resection of the prostate. In chronic renal failure, the testicles atrophy; they do not hypertrophy. Chronic renal failure produces a state of depression, not euphoria. Health Promotion and Maintenance2. Right Answer: AExplanation: To provide the best response, the nurse must identify what the elder is asking. Concern is being expressed about whether elders can engage in sexual activity.The most therapeutic response by the nurse is Choice 1. In this choice, the nurse acknowledges that elders can physically engage in sexual activity and have no psychological barriers to the same. All of the other choices contain facts but are not the best initial response. Choice 1 opens the conversation for the expression of further concerns about sexual issues. Choice 2 is true; past sexual function is predictive of sexual function in elder adults. An elder adult must have been sexually active as a younger adult to engage in intercourse in old age. This does not mean, however, that the elder adult cannot experience sexual intimacy in other ways. The need for intimacy is especially important for elder adults. If they have lost meaningful relationships or are having difficulty with intercourse, they might be able to experience intimacy through touch. As males age, they find it takes longer to achieve an erection, but that when its achieved, the erection lasts longer. In addition, elder males require direct stimulation to achieve an erection. Health Promotion and Maintenance3. Right Answer: DExplanation: Children of gay and lesbian parents should be reassured that their relationship with their parent will not change because of the discussion. Choices 1, 2, and 3 are all important aspects of the disclosure. As children grow, they might have additional questions. Preschool children might not understand the absence of a father or mother. Schoolage children might be troubled that their family isnt like their friends families. Adolescents might become reluctant to discuss it or accept it even though they expressed acceptance at an earlier age. In general the earlier children are informed, the easier it is for them to accept and assimilate the information.Nurses need to be nonjudgmental and learn how to express and accept these differences so that they can keep the nurse-child-family relationship intact. HealthPromotion and Maintenance4. Right Answer: BExplanation: The practice of polygamy refers to having multiple wives or husbands. When there are multiple wives who are sisters, the polygamy is designated as soronal.When the wives are not sisters it is nonsororal. Polyandry refers to multiple husbands and is rare. Some cultures practice a polygamy designated as sororate.Sororate polygamy specifies that a husband must marry his wifes sister if she dies. These marriages are successive rather than concurrent. Health Promotion andMaintenance5. Right Answer: AExplanation: Brown-Squard syndrome is a result of damage to one-half of the spinal cord. The other choices are also incomplete lesions of the spinal cord, but they have different defining characteristics. Reduction of Risk Potential .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 98
Questions 1. A client with a spinal cord injury is preparing to return home from the rehabilitation unit. Which of the following statements by a family member indicates a need for further teaching regarding autonomic dysreflexia?A) 'I should raise him to a sitting position.'B) 'I should check for a fecal impaction.'C) 'I should look for a kink in the urinary catheter tubing.'D) 'I should see whether symptoms worsen.'2. Which of the following symptoms is not indicative of autonomic dysreflexia in the client with a spinal cord injury?A) sudden onset of headacheB) flushed faceC) hypotensionD) nasal congestion3. Which of the following statements by a client with spinal cord injury indicates a need for further teaching by the nurse regarding bowel management?A) 'I should avoid eating foods that produce gas.'B) 'I should drink more fluids like coffee and cola.'C) 'I should set a regular schedule for bowel movements.'D) 'I should sit in an upright position for bowel movements.'4. A 20-year-old male client had a diving accident with subsequent paraplegia. He says to the nurse, 'No woman will ever want to marry me now.' Which of the following responses by the nurse is most therapeutic?A) 'Don - t worry. Maybe you - ll meet a paraplegic woman.'B) 'There is someone for everyone in this world.'C) 'You are still an attractive man, even though you can - t walk.'D) 'Tell me more about your feelings on this issue.'5. Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. The nurse who was not promoted tells a friend, 'Oh, well, I really didn - t want the job anyway.' This is an example of:A) rationalization.B) denial.C) projection.D) compensation. Right Answer and Explanation: 1. Right Answer: DExplanation: If the client develops signs or symptoms of autonomic dysreflexia, they need to be addressed immediately. If the family member is not able to relieve them, a health care provider needs to be notified immediately. The remaining choices are correct; they are all ways to relieve autonomic dysreflexia. Reduction of RiskPotential2. Right Answer: CExplanation: Hypotension is not indicative of autonomic dysreflexia; rather, hypertension is a sign of autonomic dysreflexia. The remaining choices are symptoms of autonomic dysreflexia. Reduction of Risk Potential3. Right Answer: BExplanation: This statement is incorrect because caffeinated fluids, such as coffee and cola, stimulate fluid loss through urination. Instead, fluids such as water and fruit juices should be taken. The remaining choices indicate correct understanding of bowel management. Reduction of Risk Potential4. Right Answer: DExplanation: This response is the most therapeutic because it allows the client to discuss his anxieties and fears with the nurse. The other responses do not allow for such a dialogue, so they are not as therapeutic. Reduction of Risk Potential5. Right Answer: AExplanation: This is called the sour grapes form of rationalization. Rationalization is an unconscious form of self-deception in which excuses are made. Denial is an unconscious process that ignores the existence of the situation. Projection operates unconsciously and results in blaming behavior. Compensation is an attempt to make up for a perceived weakness by emphasizing a strong point. Psychosocial Integrity .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 99
Questions 1. The nurse who was not promoted tells another friend, 'I knew I - d never get the job. The hospital administrator hates me.' If she actually believes this of the administrator, who, in reality, knows little of her, she is demonstrating:A) compensation.B) reaction formation.C) projection.D) denial.2. The Token Economy is a type of therapy that focuses on:A) play therapy.B) behavior modification.C) milieu therapy.D) associative.3. How does the ANA define the psychiatric nursing role?A) a specialized area of nursing practice that employs theories of human behavior as its science and the powerful use of self as its artB) assisting the therapist to relieve the symptoms of clientsC) to solve clients - problems and give them the answersD) having a client committed to long-term therapy with the nurse4. While admitting a client to an acute-care psychiatric unit, the nurse asks about substance abuse based on knowledge that:A) psychiatric illness is more prevalent in addicted populations.B) people with psychiatric disorders are more prone to substance abuse.C) substance disorders are easily detected and diagnosed in acute-care psychiatric settings.D) undetected substance problems have no real effect on treatment of psychiatric disorders.5. When planning care of a client who has a been diagnosed with Amphetamine Abuse, the nurse should use the knowledge that:A) amphetamines increase energy by increasing dopamine levels at neural synapses.B) amphetamines have a low risk of tolerance or addiction.C) amphetamines produce a 10 - 20-second rush followed by a 2 - 4-hour high.D) addiction to barbiturates and amphetamines is rare because they have opposite effects. Right Answer and Explanation: 1. Right Answer: CExplanation: Projection results in unconsciously adopting blaming behavior. It attributes unacceptable attributes to other people. Compensation results in the nurse unconsciously attempting to emphasize a strong point in an attempt to make up for a perceived weakness. Reaction formation unconsciously adopts behavior that is opposite her actual feelings. Denial involves ignoring the existence of an unpleasant reality. Psychosocial Integrity2. Right Answer: BExplanation: Behavior modification gives positive feedback and rewards for appropriate behavior. Behavior modification requires negative behavior if its not destructive or life threatening. Psychosocial Integrity3. Right Answer: AExplanation: The ANA sets standards of practice for psychiatric and mental health nursing roles. Quality of care, performance appraisal, education, ethics, collaboration, and research are covered through the use of the Nursing Process. Psychosocial Integrity4. Right Answer: BExplanation: The failure to address substance abuse among clients with psychiatric disorders interferes with treatment effectiveness and contributes to relapse. Misdiagnosis of a psychiatric disorder, suboptimal pharmacological treatment, neglect of appropriate interventions, or an inappropriate referral might also occur. PsychosocialIntegrity5. Right Answer: AExplanation: Amphetamines cause the release of norepinephrine and dopamine from storage vesicles into the synapse. The increased catecholamines at the receptors causes increased stimulation. Clear patterns of tolerance and withdrawal have not been described. Prolonged or excessive use of amphetamines can lead to psychosis.People use amphetamines for the feelings of euphoria, relief from fatigue, energy, and alertness. Overdose can cause seizures, cardiac arrhythmias, hypertension, and hyperthermia. When abstaining, the client might experience fatigue, depression, and irritability lasting for several weeks. Drug cravings are common and might lead to relapse. Psychosocial Integrity .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 100
Questions 1. A small amount of bubbling is seen in the water seal of a pleural drainage system when a client coughs. What should the nurse do?A) Consider it a normal finding.B) Check the system for leaks.C) Clamp the chest tube.D) Change the drainage system.2. Which type of dressing is recommended to place over a site when a chest tube is removed by the physician?A) transparent dressingB) colloidal dressingC) petrolatum gauzeD) nonadherent dressing3. A client begins bleeding from the site of a previous arterial blood gas draw on the right wrist. What should the nurse do first?A) Check the blood count.B) Apply pressure to the site.C) Document the bleeding.D) Monitor the bleeding.4. A nurse walks into a clients room to do an assessment and discovers that the client is unresponsive. The nurse shakes the client and calls his name, but he does not arouse. What should the nurse do next?A) Open the airway.B) Give defibrillation.C) Check the pulse.D) Call for help.5. What is the appropriate ratio of cardiac compressions to ventilations in an adult client for one-person CPR?A) 5:1B) 1:5C) 15:2D) 2:15 Right Answer and Explanation: 1. Right Answer: AExplanation: A small amount of bubbling is a normal finding in the water seal of a pleural drainage system when a client coughs. It is only a problem to find continuous, excessive bubbling in the waterseal, which indicates a leak. Reduction of Risk Potential2. Right Answer: CExplanation: Petrolatum gauze is recommended to place over a site when a chest tube is removed by the physician. This is because it forms an airtight seal, which the other choices do not. Reduction of Risk Potential3. Right Answer: BExplanation: If a client begins bleeding from the site of a previous arterial blood gas draw on the right wrist, the nurse should first apply pressure to the site. This prevents further bleeding. The remaining choices can be performed later. Reduction of Risk Potential4. Right Answer: DExplanation: The first step after determining unresponsiveness is to call for help. The remaining steps might be indicated afterward. Reduction of Risk Potential5. Right Answer: CExplanation: The appropriate ratio for adult CPR is 15 compressions to 2 ventilations. Reduction of Risk Potential .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
Created by - Jenny Clarke
NCLEX-PN Exam Questions - Part 101
Questions 1. The nurse observes a staff member not following the plan of care for a client with an antisocial personality disorder. The nurse should:A) confront the staff member immediately and say, 'You know that is not the treatment plan.'B) write an incident report to create a paper trail of the staff member - s failure to follow the planned program.C) ask the staff member to talk in private, and reinforce how antisocial clients try to divide staff.D) bring up the incident during the weekly conference so that this staff member is not assigned to work with antisocial persons again.2. A client diagnosed with Borderline Personality Disorder frequently attempts to burn herself. The best intervention to facilitate behavior change is:A) constantly observing the client to prevent self-harm.B) enlisting the client in defining and describing harmful behaviors.C) checking on the client every 15 minutes to ensure she is not engaging in harmful behavior.D) removing all items from the environment that the client could use to harm herself.3. During a well-baby check of a 6-month-old infant, the nurse notes abrasions and petechaie of the palate. The nurse should:A) inquire about foods the child is eating.B) ask about the possibility of sexual abuse.C) request to see the type of bottle used for feedings.D) question the parent about objects the child plays with.4. A woman seeks assistance because she recently remembered childhood sexual abuse. The nurse should include which of the following goals for this client?A) prosecuting the perpetratorB) managing symptoms of anxiety and fearC) determining if the memories are realD) collaborating the client - s story5. An advance directive is written and notarized according to law in the state of Colorado. This document is legal and binding:A) internationally.B) in the state of Colorado only.C) in the continental United States.D) in the county of origination only. Right Answer and Explanation: 1. Right Answer: CExplanation: It is essential that the treatment program be followed exactly for clients with antisocial personality disorder because they are very manipulative and attempt to divide staff. However, confronting the staff member in front of the client enhances the division of staff. Talking with the staff member in private allows the person to develop skills to work with this client population. Psychosocial Integrity2. Right Answer: BExplanation: The challenge when intervening with clients who might harm themselves is to maintain client safety while facilitating behavior change. Enlisting the client to identify the triggers for self-harm makes the client an active participant in treatment. Nurses are less judgmental when they understand the source of the behavior and can be sensitive to client feelings. Psychosocial Integrity3. Right Answer: BExplanation: Generally oral sex leaves little physical evidence. Injury to the soft palate (such as bruising, abrasions, and petechaie) and pharyngeal gonorrhea are the only signs. Infants are at risk for sexual abuse. Psychosocial Integrity4. Right Answer: BExplanation: At least 10% of victims of childhood sexual abuse have periods of complete amnesia about the abuse, followed by delayed recall. Controversial evidence suggests that people who have recovered memories have had part of those memories reconstructed by therapists. The nurses role is not to determine if the memories are real, but to help the client deal with the stress caused by the remembered abuse. Psychosocial Integrity5. Right Answer: BExplanation: Choices 1, 3, and 4 are incorrect. Advance directive protocols and documents are defined by each state. Coordinated Care .col-md-12 { -webkit-user-select: none; -ms-user-select: none; user-select: none; } .flash-sale-container{background:#134981;text-align:center;padding:2%;} p.flash-sale-text{ font-size:24px;font-family:"Poppins";letter-spacing:2px;line-height:1.4em; } span.flash-break{ display:block; } .flash-sale-text { -webkit-animation-name:flash; animation: blink 1.5s infinite; } @keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } @-webkit-keyframes blink{ 0% { color: #D3585F; } 20% { color: #D3585F; } 40% { color: #FFF; } 60% { color: #FFF; } 80% { color: #D3585F; } 100% { color: #D3585F; } } 80% DISCOUNT: SPHR PRACTICE EXAMS
More detailsPublished - Thu, 23 Feb 2023
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