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Dumps Questions [2023] Pass for NCLEX-PN Exam
The National Council Licensure Examination for Practical Nurses (NCLEX-PN) is a standardized test that is used to determine if a candidate has the knowledge and skills necessary to be licensed as a practical nurse in the United States. NCLEX-PN exam is developed and administered by the National Council of State Boards of Nursing (NCSBN), and is a requirement for anyone who wants to work as a practical nurse in the United States.
NEW QUESTION # 374
For a client requiring total oral care, it is important for the nurse to __________.
- A. use gloves and clean the client's mouth, including the tongue
- B. assemble all equipment, assist the client to semi-Fowler's position, and place a towel on his chest
- C. assemble all equipment, place the client in a side-lying position, and place a towel under his chin
- D. place client in Fowler's position, prepare the equipment, and tell the client what to do
Answer: C
Explanation:
Section: Physiological Integrity
Explanation:
Assemble all equipment first; place the client in a side-lying position so that fluid can easily flow out or pool in the side of the mouth for suctioning (to prevent aspiration); and then place a towel under the client's chin and a curved basin against the chin. Gloves should be worn.
NEW QUESTION # 375
A client recently lost a child due to poisoning. The client tells the nurse, "I don't want to make any new friends right now." This is an example of which of the following indicators of stress?
- A. sociocultural indicator
- B. intellectual indicator
- C. spiritual indicator
- D. emotional behavioral indicator
Answer: A
Explanation:
Stress can alter a person's relationships with others. Psychosocial Integrity
NEW QUESTION # 376
The nurse assesses a client for physiological risk factors for falls. The nurse should conclude that the client is not at risk if which of the following is discovered?
- A. intact recent and remote memory
- B. need for wheelchair due to reduced mobility
- C. weakness and fatigue noted when climbing stairs
- D. history of dizziness
Answer: A
Explanation:
Explanation/Reference:
Explanation:
Intact recent and remote memory indicates that a client is not at risk for falls. Risk for falls can occur in elder clients, and the nurse should assess each client for the possibility of falls and take appropriate actions. Safety and Infection Control
NEW QUESTION # 377
The nurse should perform which intervention when a client is restrained?
- A. Remove the restraints and provide skin care hourly.
- B. Tie the restraint to the side rails.
- C. Assess the restraint every 30 minutes.
- D. Document the condition of the client's skin every 3 hours.
Answer: C
Explanation:
Section: Safe and Effective Care Environment
Explanation:
The minimum standard is to visually assess the restraint every 30 minutes. Documentation is typically performed per a checklist or flow sheet.
The ends of the restraint are tied to a part of the bed that allows for position changes without unfastening them.
NEW QUESTION # 378
Using cliches in therapeutic communication leads the client toward:
- A. viewing the nurse as human.
- B. feeling discounted.
- C. accepting himself as human.
- D. self-disclosing.
Answer: B
Explanation:
The use of cliches in therapeutic communication is commonly construed by the client as the nurse's lack of understanding, involvement, and caring, so the client might feel demeaned and discounted.
Psychosocial Integrity
NEW QUESTION # 379
Milieu therapy is best employed to perform which activity?
- A. focusing on inappropriate behavior
- B. providing repetitive ordinary experiences on a daily basis
- C. investigating the client's view of the world
- D. promoting socialization skills
Answer: B
Explanation:
Milieu therapy provides repetitive ordinary experiences on a daily basis, controls the environment by minimizing change as much as possible, and decreases disruptive behavior by keeping tasks simple.Psychosocial Integrity
NEW QUESTION # 380
When choosing a needle gauge for an intramuscular injection in a 12 year old boy. Which of the following gauges would you choose?
- A. 22 gauge
- B. 25 gauge
- C. 20 gauge
- D. 27 gauge
Answer: A
Explanation:
22 gauge is recommended for school age children, toddlers, and adolescents while 23-25 gauge is recommended for infants.
NEW QUESTION # 381
An 8-year-old Asian child is being examined during a school screening. The nurse notices small bruises on the anterior and posterior ribs. The nurse should ask the child:
- A. how long the abuse has been occurring.
- B. if the child has fallen.
- C. who hit him.
- D. if the family practices coining.
Answer: D
Explanation:
Explanation/Reference:
Explanation:
The nurse must be aware of cultural practices that resemble child abuse. These practices include coining, cupping, and fallen fontanella. Coining and cupping are thought to draw infections from the body. Coining involves rubbing a heated coin on the chest and torso and might cause bruising. Cupping uses heated glasses that can produce erythematous and ecchymotic rounded lesions or linear streaks on the body from the suction. Fallen fontanella involves turning a child upside down to correct a depressed fontanelle; it can cause vomiting, diarrhea, and dehydration in infants. Retinal hemorrhages can also occur, and sometimes Shaken-Baby Syndrome is erroneously diagnosed. Psychosocial Integrity
NEW QUESTION # 382
Around what age do children start to develop "stranger anxiety"?
- A. 9 months
- B. 6 months
- C. 3 months
- D. 12 months
Answer: B
Explanation:
Section: Health Promotion and Maintenance
Explanation/Reference:
NEW QUESTION # 383
Which of the following coping mechanisms protects an individual from anxiety?
- A. denial and fantasy
- B. rationalization and suppression
- C. reaction formation and projection
- D. regression and displacement
Answer: A
Explanation:
Denial, rationalization, regression, and fantasy are coping mechanisms that protect persons from anxiety.
Psychosocial Integrity
NEW QUESTION # 384
In managing nausea related to Morphine epidural analgesia, the nurse should administer:
- A. Codeine
- B. Compazine
- C. Indocin
- D. Motrin
Answer: B
Explanation:
Explanation/Reference:
Explanation:
Compazine is the drug that should be administered. Basic Care and Comfort
NEW QUESTION # 385
Which of the following medications is a serotonin antagonist that might be used to relieve nausea and vomiting?
- A. onedansetron (Zofran)
- B. hydroxyzine (Vistaril)
- C. prochlorperazine (Compazine)
- D. metoclopramide (Reglan)
Answer: A
Explanation:
Zofran is a serotonin antagonist that can be used to relieve nausea and vomiting. The other medications can be used for nausea and vomiting, but they have different mechanisms of action.
Physiological Adaptation
NEW QUESTION # 386
The three major sequential maturational crises for females include:
- A. dating, engagement, and separation.
- B. death of a spouse, menopause, and childbirth.
- C. puberty, pregnancy, and menopause.
- D. rape, divorce, and menarche.
Answer: C
Explanation:
Explanation/Reference:
Explanation:
The three major sequential maturational crises affecting females are puberty, pregnancy, and menopause.
These are life events that have been studied by many researchers and are considered the major events in a woman's life. Puberty is the onset menarche. Pregnancy is a turning point in one's life from which there is no return. Menopause is the cessation of menses. The nurse has the responsibility to assess, plan, implement appropriate concepts to facilitate effective functioning, and enhance growth and development.
Choices 2, 3, and 4 are not sequential maturational crises. Psychosocial Integrity
NEW QUESTION # 387
Padding on a restraint helps:
- A. to keep restraints in place.
- B. to keep infection and wounds down.
- C. the client feel more secure.
- D. with pressure distribution so that bony prominences do not receive pressure when a client pulls against the restraints.
Answer: D
Explanation:
Explanation/Reference:
Explanation:
Padding distributes pressure so that bony prominences do not receive the brunt of pressure when a client pulls against the restraints. Pressure, especially over bony prominences, causes tissue damage due to ischemia. Safetyand Infection Control
NEW QUESTION # 388
Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with:
- A. vitamins A and
- B. an increase of calcium in the diet.
- C. an increase of protein in the diet.
- D. iron, folic acid, and B12.
Answer: D
Explanation:
The kidneys of a client in renal failure produce no erythropoietin, a hormone necessary for RBC production. Erythropoietin can be given as replacement, but the client needs adequate iron, folate, and B12 to increase the effectiveness of EPO. Choice 2 is not necessary for RBC production and can increase uremia. Choices 3 and 4 are not necessary for RBC production.Physiological Adaptation
NEW QUESTION # 389
The three universal spiritual needs include all of the following except:
- A. meaning and purpose.
- B. God's permission.
- C. love and relatedness.
- D. forgiveness.
Answer: B
Explanation:
Religious teachings help to present a meaningful philosophy and system of practices within a system of social controls having specific values, norms, and ethics. God is the center of many religions (major), but not all.
Psychosocial Integrity
NEW QUESTION # 390
A client can receive the mumps, measles, rubella (MMR) vaccine if he or she:
- A. is pregnant.
- B. has a cold.
- C. is allergic to neomycin.
- D. is immunocompromised.
Answer: B
Explanation:
A simple cold without fever does not preclude vaccination. Choices 1 and 2 are incorrect because pregnant women and immunocompromised individuals cannot have the MMR vaccine because the rubella component is a live virus and might cause birth defects and/or disease. Choice 3 is incorrect because the American Academy of Pediatrics states, "Persons who have experienced anaphylactic reactions to topically or systemically administered neomycin should not receive measles vaccine." Pharmacological Therapies
NEW QUESTION # 391
One day postoperative, the client complains of dyspnea, and his respiratory rate (RR) is 35, slightly labored, and there are no breath sounds in the lower-right base.
The nurse should suspect __________.
- A. atelectasis
- B. pulmonary embolus
- C. cardiac tamponade
- D. cor pulmonale
Answer: A
Explanation:
Section: Physiological Integrity
Explanation:
The first three symptoms could be indicative of any of the conditions.
The distinguishing symptom is the lack of breath sounds in the lower-right base, which is assessed when a portion of the lung has collapsed.
NEW QUESTION # 392
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