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NCLEX-PN Exam Questions  - Part 48

Created by - Jenny Clarke

NCLEX-PN Exam Questions - Part 48

Questions 1. Which of the following tests is commonly performed on newborns with jaundice?A) blood urea nitrogenB) magnesiumC) bilirubinD) prolactin2. An elevation in which of the following enzymes is indicative of pancreatitis?A) alkaline phosphataseB) acid phosphataseC) creatine phosphokinaseD) amylase3. Which of the following isoenzymes is elevated in a client who has had a myocardial infarction?A) CPK-BBB) CPK-MMC) CPK-MBD) CPK-MI4. Which of the following lab values is elevated first after a client has a myocardial infarction?A) LDHB) troponinC) CPKD) SGOT5. Which is the most common microorganism associated with gastritis?A) syphilisB) cytomegalovirusC) H. pyloriD) mycobacterium Right Answer and Explanation: 1. Right Answer: CExplanation: A high bilirubin level is found with hepatic immaturity in newborns, from which jaundice results. The other choices are not. Reduction of Risk Potential2. Right Answer: DExplanation: Amylase is elevated in conditions of pancreatic inflammation, such as pancreatitis. The other enzymes are associated with other types of tissue damage.Reduction of Risk Potential3. Right Answer: CExplanation: CPK-MB is elevated in clients who have had a myocardial infarction. CPK-BB is elevated in clients who have brain damage, and CPK-MM is elevated in clients who have skeletal muscle damage. CPK-MI does not exist. Reduction of Risk Potential4. Right Answer: BExplanation: The troponin level is the first to rise in a client who has had a myocardial infarction, followed by CPK, SGOT, and LDH. Reduction of Risk Potential5. Right Answer: CExplanation: H. pylori is the most common microorganism associated with gastritis. The other microorganisms listed might be associated with gastritis but to a lesser degree.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

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Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions  - Part 49

Created by - Jenny Clarke

NCLEX-PN Exam Questions - Part 49

Questions 1. Which of the following procedures describes an opening between the colon and abdominal wall?A) ileostomyB) jejunostomyC) colostomyD) cecostomy2. A client had a colostomy done one day ago. Which of the following is an abnormal finding when assessing the stoma?A) mild edemaB) minimal bleedingC) rose colorD) dark red color3. A client with jaundice has which skin color?A) paleB) ruddyC) yellowD) pink4. Which type of hepatitis is transmitted via the fecal-oral route?A) AB) BC) CD) D5. To ensure proper immobilization and increase client comfort when using a rigid splint:A) place the client on a stretcher before splinting.B) place the client on a long spine board before splinting.C) pad the spaces between the body part and the splint.D) ensure that the splint conforms to the body curves. Right Answer and Explanation: 1. Right Answer: CExplanation: A colostomy is an opening between the colon and abdominal wall. The remaining terms describe other types of ostomies. Physiological Adaptation2. Right Answer: DExplanation: A dark red color is an abnormal finding when assessing the stoma. It indicates inadequate blood supply. The other findings are normal one day postoperatively.Physiological Adaptation3. Right Answer: CExplanation: Jaundice turns the skin yellow. The other skin colors are not symptoms of jaundice. Physiological Adaptation4. Right Answer: AExplanation: Type A hepatitis is transmitted via the fecal-oral route. The remaining types have other modes of transmission. Physiological Adaptation5. Right Answer: CExplanation: To ensure proper immobilization and increase client comfort when using a rigid splint, pad the spaces between the body part and the splint. Basic Care andComfort .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

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Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions  - Part 50

Created by - Jenny Clarke

NCLEX-PN Exam Questions - Part 50

Questions 1. The method of splinting is always dictated by:A) location of the injury and whether it is open or closed.B) the severity of the client - s condition and the priority decision.C) the number of available rescuers and the type of splints.D) all of the above.2. Hazards of improper splinting include:A) aggravation of a bone or joint injury.B) reduced distal circulation.C) delay in transport of a client with a lifethreatening injury.D) all of the above.3. In evaluating the lab work of a client in a hepatic coma, which of the following lab tests is most important?A) blood urea nitrogenB) serum calciumC) serum ammoniaD) serum creatinine4. A client with major head trauma is receiving bolus enteral feeding. The most important nursing order for this client is:A) measure intake and output.B) check albumin level.C) monitor glucose levels.D) increase enteral feeding.5. A client has a nasogastric (NG) tube in place following abdominal surgery. The purpose of this tube immediately following surgery is to:A) simplify medication administration.B) measure accurate input and output.C) prevent accumulation of fluids and gas.D) facilitate collection of specimens. Right Answer and Explanation: 1. Right Answer: BExplanation: The method of splinting is always dictated by the severity of the clients condition and the priority decision. Basic Care and Comfort2. Right Answer: DExplanation: Hazards of improper splinting include aggravation of a bone or joint injury, reduced distal circulation, and delay in transport of a client with a life-threatening injury.Basic Care and Comfort3. Right Answer: CExplanation: When a client is in a hepatic coma, he is in live liver failure. The liver can no longer metabolize amino acids completely, thus ammonia levels increase causing brain-tissue irritation. Basic Care and Comfort4. Right Answer: AExplanation: It is important to measure intake (I) and output (O), which should be approximately equal. Enteral feedings are hyperosmotic agents pulling fluid from cells into the vascular bed. Water given before feeding presents a hyperosmotic diuresis. I and O measures assess fluid balance. Basic Care and Comfort5. Right Answer: CExplanation: Immediately postop abdominal surgery, the NG tube keeps the stomach decompressed to prevent surgical-site disruption and fluid loss through vomiting. BasicCare 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

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Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions  - Part 51

Created by - Jenny Clarke

NCLEX-PN Exam Questions - Part 51

Questions 1. A client is having problems with her ankles. To assess her ankles - ROM, which ROM exercises should the nurse have her perform?A) flexion, extension, hyperextensionB) flexion, extension, abduction, adductionC) external rotation, internal rotationD) extension, flexion, inversion, eversion2. Pulling is easier than pushing. So pulling a client rather than pushing him or her has which of the following advantages?A) reduces workloadB) decreases opposition from gravityC) maintains stabilityD) prevents muscle strain3. The nurse is transferring a client from a wheelchair to the bed. Which is the correct procedure?A) Pull the client toward you, and pivot him on the unaffected limb.B) Pull the client toward you, and pivot him on the affected limb.C) Push the client toward the bed, and pivot him on the affected limb.D) Stand the client on both legs, and push him toward the bed.4. Pressure ulcers usually occur:A) when clients are left in one position in bed for extended periods of time.B) when clients are underweight.C) when clients are overweight.D) only in underweight and overweight clients.5. Accurate documentation of assessment findings regarding pressure ulcers is very important because:A) the law requires the nurse to document lesions.B) the hospital requires the nurse to document lesions.C) the physician requires the nurse to document lesions.D) the nursing assessment of ulcers is a standard of nursing practice. Right Answer and Explanation: 1. Right Answer: DExplanation: Moving a joint through the full range of motion identifies limitation of movement. Basic Care and Comfort2. Right Answer: AExplanation: Pulling an object works with gravitational force not opposing it, lowering risk of muscle strain. Basic Care and Comfort3. Right Answer: AExplanation: Pulling the client toward the nurse lowers the workload force. Pivoting on the unaffected limb offers strength to support the affected limb while pivoting to the bed.Basic Care and Comfort4. Right Answer: AExplanation: Pressure ulcers usually occur over bony prominences and are caused by decreased circulation. The client who is left in one position in bed for extended periods of time is more prone to decreased circulation to an area of the body and to acquiring a pressure ulcer. Basic Care and Comfort5. Right Answer: DExplanation: Documentation of assessments by the nurse promotes continuity of care and helps prevent further progression of the ulcer. 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

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Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions  - Part 52

Created by - Jenny Clarke

NCLEX-PN Exam Questions - Part 52

Questions 1. Perineal care to a female client by the nurse can be performed:A) without gloves, pouring water from a sterile bottle.B) without gloves, having the client perform all care.C) with gloves, washing the perineal area from front to back.D) with gloves, washing the perineal area from back to front.2. When a client who is having trouble conceiving says to the nurse, 'I have started taking ginseng,' the best response by the nurse is:A) 'No studies show that ginseng is effective for infertility.'B) 'Some studies show that ginseng enhances in vitro sperm motility.'C) 'Why don - t you try acupuncture instead. Many studies have shown it to be effective for infertility.'D) 'It - s probably not going to hurt you, but it - s also probably not going to help. Let - s look at some other alternatives.'3. A client describes her cervical mucus as clear, thin, and elastic. Upon examination, the nurse demonstrates that the cervical mucus can be stretched 810 cm.The nurse correctly documents the finding as:A) ferning capacity.B) lack of ferning.C) spinnbarkheit.D) inhospitable.4. A client with a nasogastric (NG) tube begins vomiting. What action should the nurse take?A) Retape the NG tube.B) Clamp the NG tube.C) Remove the NG tube.D) Check the NG tube placement.5. Which of the following is the most appropriate diet for a client who is unable to swallow?A) nothing by mouthB) nasogastric feedingsC) clear liquidsD) total parenteral nutrition Right Answer and Explanation: 1. Right Answer: CExplanation: Gloves should always be worn, and the perineal area should be washed with a washcloth from front to back. This method prevents E. coli and other bacteria from being swept into the urethra. The procedure should be performed and explained in a private area with all equipment gathered first. Basic Care and Comfort2. Right Answer: BExplanation: Some studies have shown that ginseng and astragalus have enhanced in vitro sperm motility. Ginseng has long been used in traditional Chinese medicine to enhance male fertility. So, Choice 2 is correct and directly addresses the clients comments. Many times couples struggling with infertility turn to alternative therapies in desperation. They can be very expensive, and some are harmful. Ginseng should not interfere with any of the traditional fertility treatments and might help the couple feel empowered that they are also doing something on their own. Choice 1 is not true. Choice 3 introduces another alternative therapy. It is true that acupuncture is a traditional Chinese medical therapy and has been shown in several clinical studies to be effective in treating infertility in both women and men. The best response by the nurse should address the therapy the client states she is using. Choice 4 dismisses the clients attempts to work through her issues and contribute to the solution. One concern is always that more traditional therapies might be ignored, and time might be lost to alternative therapies. But this response causes the client to perceive the nurse as unsupportive and inhibits further discussion and disclosure. Health Promotion and Maintenance3. Right Answer: CExplanation: Spinnbarkheit is the correct terminology to identify the cervical mucus described. This type of mucus occurs at ovulation and its assessment is used to help couples determine the time they are most likely to conceive. Ferning capacity or crystallization also increases as ovulation approaches. The only way that ferning can be identified is to place the cervical mucus on a microscope slide, let it air dry, and then examine it for a fern-type appearance. Lack of ferning cannot be determined without microscopic examination. Inhospitable cervical mucus refers to mazelike patterns of mucoid strands in cervical mucus that prohibit sperm motility. Other characteristics that make the mucus inhospitable relate to hormone levels, infection, and so on. These conditions cannot be determined by the description supplied in the question. Health Promotion and Maintenance4. Right Answer: DExplanation: For the client with an NG tube who begins vomiting, the nurse should check the tube placement because it might be displaced, thereby leading to vomiting. The other responses are not appropriate. Reduction of Risk Potential5. Right Answer: BExplanation: Nasogastric feedings are most appropriate for a client who is unable to swallow. Nothing by mouth leads to nutritional deficiencies. The client might aspirate a clear liquid diet. TPN is not necessary as long as the gut is still functioning. 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

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Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions  - Part 53

Created by - Jenny Clarke

NCLEX-PN Exam Questions - Part 53

Questions 1. Which of the following is a predisposing factor for cancer of the tongue?A) tobacco useB) obesityC) sun exposureD) eating sweets2. Which of the following statements by a client with gastroesophageal reflux disease (GERD) indicates adequate understanding?A) 'I should eat right before bedtime.'B) 'I should eat large meals.'C) 'I should sit up after eating.'D) 'I should lie flat after eating.'3. Which of the following medications might cause upper-gastrointestinal (UGI) bleeding?A) Cardizem (diltiazem)B) Naprosyn (naproxen)C) Elavil (amitryptiline)D) Corgard (nadolol)4. A contraindication for topical corticosteroid use in a client with atopic dermatitis (eczema) is:A) parasite infection.B) viral infection.C) fungal infection.D) spirochete infection.5. A client - s postoperative pain seems to be getting worse instead of better. When the nurse asks the client, 'Why do you think it - s getting worse?' the client replies,'My wife died last month. It - s all I can think about.' The nurse must now consider:A) calling the physician for an increased dosage of pain medication.B) calling the physician for a sedative.C) referring the client for a psychiatric consult.D) developing interventions for grief and loss. Right Answer and Explanation: 1. Right Answer: AExplanation: Tobacco use is a predisposing factor for cancer of the tongue; the other choices are not. Reduction of Risk Potential2. Right Answer: CExplanation: The client with GERD needs to sit up after eating or have the head of the bed elevated to avoid reflux. Thus, choices 1 and 4 are incorrect. Choice 2 is incorrect because the client needs to eat small, frequent meals. Reduction of Risk Potential3. Right Answer: BExplanation: Naprosyn might cause upper-gastrointestinal (UGI) bleeding. Reduction of Risk Potential4. Right Answer: BExplanation: Topical agents produce a localized, rather than systemic, effect. When treating atopic dermatitis with a steroidal preparation, the site is vulnerable to invasion by organisms. Viruses, such as herpes simplex or varicella zoster, present a risk of disseminated infection. Educate the client using topical corticosteroids to avoid crowds or people known to have infections and to report even minor signs of an infection. Topical corticosteroid use results in little danger of concurrent infection with the agents in choices 1, 3, and 4. Pharmacological Therapies5. Right Answer: DExplanation: The clients pain is affective as well as sensory. Grieving his wifes death is a normal response that does not necessarily require psychiatric consult. Choices 1 and2 address the sensory, not the affective component of his pain. 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

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Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions  - Part 54

Created by - Jenny Clarke

NCLEX-PN Exam Questions - Part 54

Questions 1. Client education by the nurse entails:A) telling the client everything about his disease, what is going to happen in the course of the disease, and the outcome.B) giving information to the client that is accurate and understandable.C) telling the client that the pain he experiences might not be real.D) giving the client medication when pain is experienced.2. Which of the following foods present a problem for a client diagnosed with Celiac Disease?A) butterB) oats or barley cerealC) fresh vegetablesD) coffee or tea3. The nurse has completed client teaching about introducing solid foods to an infant. To evaluate teaching, the nurse asks the mother to identify an appropriate first solid food. Which of the following is an appropriate response?A) pureed canned squashB) pureed applesC) yogurtD) infant rice cereal4. A pregnant client has congenital heart disease. The nurse should expect to see which alterations in this client - s diet during pregnancy?A) reduced calories and reduced fatB) caffeine and sodium restrictionsC) decreased protein and increased complex carbohydratesD) fluid restriction and reduced calories5. Which of the following NSAIDS is most commonly used for a brief time for acute pain?A) AdvilB) AleveC) ToradolD) Bextra Right Answer and Explanation: 1. Right Answer: BExplanation: Client education entails giving the client accurate and understandable information. Basic Care and Comfort2. Right Answer: BExplanation: Celiac disease, orceliac sprue, is a malabsorption disorder affecting the small intestine in which there is a problem with the ingestion of gluten, a protein normally found in grain products such as wheat, rye, oats, or barley. The other choices reflect substances that do not contain gluten and should not pose problems for a client with this disorder. Basic Care and Comfort3. Right Answer: DExplanation: Single-grain infant cereals are recommended first because they are easily digestible and have added iron content. Choice 3 is incorrect because yogurt is a milk product and introduction should be delayed until the child is 12 months of age because of the risk of milk allergy. Choices 1 and 2 are incorrect because fruits and vegetables are usually given following the introduction of cereals. Basic Care and Comfort4. Right Answer: BExplanation: Caffeine might increase heart rate that is already stressed due to pregnancy. Sodium can cause fluid retention. Both might need to be restricted. The other choices are incorrect because calories, fat, and protein are not usually decreased due to the risk of nutrient deficiencies. Basic Care and Comfort5. Right Answer: CExplanation: Toradol is an NSAID found to be very effective for brief periods of time for acute pain. It can be given IM, IV, or PO. 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

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Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions  - Part 55

Created by - Jenny Clarke

NCLEX-PN Exam Questions - Part 55

Questions 1. A hospital discharge planning nurse is making arrangements for a client who has an epidural catheter for continuous infusion of opioids to be placed in a long-term care facility. The family prefers a facility in its neighborhood to facilitate visiting. The neighborhood facility has never cared for a client with this type of need. What is the most appropriate action by the discharge planning nurse?A) Ask the physician for an extension of hospitalization until the epidural catheter is discontinued to allow for placement at the neighborhood facility.B) Arrange for immediate in-services for the long-term care facility staff on pain management using epidural catheters.C) Explain the situation to the client and family and seek another long-term care facility for discharge from the hospital.D) Encourage the family to hire private duty nurses skilled in epidural catheter pain management to allow the client to be transferred to the neighborhood facility.2. In managing nausea related to Morphine epidural analgesia, the nurse should administer:A) IndocinB) CodeineC) MotrinD) Compazine3. A client with sickle cell disease is worried about passing the disease on to children. Which of the following statements by the PN is most appropriate for this client?A) 'You should discuss this with your physician.'B) 'Sickle cell disease is genetically based and might be passed on to children.'C) 'Sickle cell disease is genetically based and is not passed on to children.'D) 'Sickle cell disease is caused by an infection and cannot be passed on to children.'4. When teaching a client about anti-retroviral therapy for human immunodeficiency virus (HIV), the PN should emphasize:A) when started, therapy must not be interrupted to prevent viral resistance.B) when started, therapy must not be interrupted to prevent opportunistic infection.C) therapy should be interrupted for one day each month to prevent toxicity.D) therapy should be interrupted for one week every three months to prevent toxicity.5. The best lab test to diagnose disseminated intravascular coagulation (DIC) is:A) platelet count.B) protime (PT).C) partial thromboplastin time (PTT).D) D-dimer. Right Answer and Explanation: 1. Right Answer: CExplanation: Safety demands that a client be transferred to a facility that can deliver care equal to the hospital. Basic Care and Comfort2. Right Answer: DExplanation: Compazine is the drug that should be administered. Basic Care and Comfort3. Right Answer: BExplanation: A client with sickle cell disease passes on the least sickle cell trait and possibly sickle cell disease, depending on the sickle status of the other parent. Choice 1 is not helpful to the client. Choices 3 and 4 are not true. Physiological Adaptation4. Right Answer: AExplanation: HIV mutates very rapidly, and any interruption of therapy can allow viral resistance to emerge even taking a dose late. Choice 2 is incorrect because, when the virus is kept in check with anti-retrovirals, the clients own immune system is able to keep opportunistic infections at bay. Choices 3 and 4 are incorrect because therapy should not be interrupted for any reason. If the client develops toxicity, another anti-retroviral drug might be prescribed. Physiological Adaptation5. Right Answer: DExplanation: In DIC, many small clots form throughout the body and are immediately broken down. D-dimer measures a specific fibrin split (or degradation) product and is the most specific test for DIC. Choice 1 is incorrect because platelets are consumed in DIC, but this is not specific. Choices 3 and 4 are both elevated (because clotting factors have been used up) but, again, are not specific. 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

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Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions  - Part 56

Created by - Jenny Clarke

NCLEX-PN Exam Questions - Part 56

Questions 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, interventionB) honeymoon period, escalation of stress, outburst, reconciliationC) acting out and making upD) peace and calm, angry outburst, peace and calm, denial3. 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. Right Answer and Explanation: 1. Right Answer: AExplanation: 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 Adaptation2. Right Answer: BExplanation: 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 Integrity3. Right Answer: BExplanation: 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 Integrity4. Right Answer: DExplanation: 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 Integrity5. Right Answer: CExplanation: 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 .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

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Published - Thu, 23 Feb 2023

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HR all events, conferences in 2023
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