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NCLEX NCLEX-PN Exam Made Easy: Step-by-Step Preparation Guide

Questions 46

A nurse is implementing a community awareness campaign about accidental poisoning. Which of the following should she teach in the class?

Options:

A.

The child should be given milk.

B.

The child should be given syrup of Ipecac

C.

The poison control center should be contacted

D.

The child should be taken to the ER

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Questions 47

When planning intervention for a client during a crisis, which of the following outcomes is most appropriate?

Options:

A.

The client should explore deep psychological problems.

B.

The client should express positive feelings about event.

C.

The client should identify needs that are threatened by the event.

D.

The client should use constructive coping mechanisms.

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Questions 48

How does the ANA define the psychiatric nursing role?

Options:

A.

a specialized area of nursing practice that employs theories of human behavior as its science and the powerful use of self as its art

B.

assisting the therapist to relieve the symptoms of clients

C.

to solve clients’ problems and give them the answers

D.

having a client committed to long-term therapy with the nurse

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Questions 49

A patient has a history of cardiac arrhythmia. A nurse has been ordered to give 2 units of blood to this patient. The nurse should take which of the following actions?

Options:

A.

Prep the patient with pain medication.

B.

Notify the patient’s family about the procedure via the telephone.

C.

Decrease the temperature of the blood to be given.

D.

Increase the temperature of the blood to be given.

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Questions 50

The nurse supporting a family who has just experienced a sudden and unexpected death needs to know:

Options:

A.

that survivors have greater emotional turmoil and shock than when death is expected.

B.

that survivors have less emotional turmoil and shock than when death is expected.

C.

that survivors have the same emotional turmoil and shock as when death is expected.

D.

that survivors have little emotional turmoil and shock because they were not there.

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Questions 51

A nurse is setting up a vision-screening program for a new school. At what age will vision be 20/20 in children?

Options:

A.

4 years old

B.

5 years old

C.

6 years old

D.

7 years old

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Questions 52

A nurse is working in a pediatric clinic and a mother brings in her 13 month old child who has Down Syndrome. The mother reports, “My child’s muscles feel weak and he isn’t moving well. My RN friend check his reflexes and she said they are diminished.” Which of the following actions should the nurse take first?

Options:

A.

Contact the physician immediately

B.

Have the patient go to X-ray for a c-spine work-up.

C.

Start an IV on the patient

D.

Position the child’s neck in a neutral position

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Questions 53

A nursing care plan for a client with sleep problems has been implemented. All of the following should be expected outcomes except:

Options:

A.

the client reports no episodes of awakening during the night.

B.

the client falls asleep within 1 hour of going to bed.

C.

the client reports satisfaction with his amount of sleep.

D.

the client rates sleep as an 8 or more on the visual analog scale.

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Questions 54

A nurse suspects a patient is developing Bell’s Palsy. The nurse wants to test the function of cranial nerve VII. Which of the following would be the most appropriate testing procedures?

Options:

A.

Test the taste sensation over the back of the tongue and activation of the facial muscles.

B.

Test the taste sensation over the front of the tongue and activation of the facial muscles.

C.

Test the sensation of the facial muscles and sensation of the back of the tongue.

D.

Test the sensation of the facial muscles and sensation of the front of the tongue.

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Questions 55

A 14 year-old boy has been admitted to a mental health unit for observation and treatment. The boy becomes agitated and starts yelling at nursing staff members. What should the nurse first response be?

Options:

A.

Create an atmosphere of seclusion for the boy according to procedures.

B.

Remove other patients from the area via wheelchairs for added speed.

C.

Ask the patient, “What is making you mad?”

D.

Ask the patient, “Why are you doing this, have you thought about what yourparents might say?”

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Questions 56

Which of the following services is not part of family consultation?

Options:

A.

assisting with vocational rehabilitation

B.

providing information about the client’s illness

C.

teaching effective communication

D.

helping families solve problems

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Questions 57

A patient has recently been diagnosed with symptomatic bradycardia. Which of the following medications is the most recognized for treatment of symptomatic bradycardia?

Options:

A.

Questran

B.

Digitalis

C.

Nitroglycerin

D.

Atropine

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Questions 58

A nurse working in a pediatric clinic observes bruises on the body of a four year-old boy. The parents report the boy fell riding his bike. The bruises are located on his posterior chest wall and gluteal region. The nurse should:

Options:

A.

Suggest a script for counseling for the family to the doctor on duty.

B.

Recommend a warm bath for the boy to decrease healing time.

C.

Notify the case manager in the clinic about possible child abuse concerns.

D.

Recommend ROM to the patient’s spine to decrease healing time.

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Questions 59

A nurse working a surgical unit, notices a patient is experiencing SOB, calf pain, and warmth over the posterior calf. All of these may indicate which of the following medical conditions?

Options:

A.

Patient may have a DVT.

B.

Patient may be exhibiting signs of dermatitis.

C.

Patient may be in the late phases of CHF.

D.

Patient may be experiencing anxiety after surgery.

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Questions 60

Why is it often necessary to draw a complete blood count and differential (CBC/differential) when a client is being treated with an antiepileptic drug (AED)?

Options:

A.

The hematocrit is adversely affected because of an increased vascular volume.

B.

AEDs affect immune modulators increasing the risk of infection.

C.

AEDs induce white blood cell reduction.

D.

A side effect of some AEDs is blood dyscrasia.

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