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NCLEX NCLEX-PN - National Council Licensure Examination(NCLEX-PN)

Page: 12 / 15
Total 725 questions

A client has chronic respiratory acidosis caused by end-stage chronic obstructive pulmonary disease (COPD). Oxygen is delivered at 1 L/min per nasal cannula. The nurse teaches the family that the reason for this is to avoid respiratory depression, based on which of the following explanations?

A.

COPD clients are stimulated to breathe by hypoxia.

B.

COPD clients depend on a low carbon dioxide level.

C.

COPD clients tend to retain hydrogen ions if they are given high doses of oxygen.

D.

COPD clients thrive on a high oxygen level.

Which of the following individuals may legally give informed consent?

A.

an 86-year-old male with advanced Alzheimer’s disease

B.

a 14-year-old girl needing an appendectomy who isnotan emancipated minor

C.

a 72-year-old female scheduled for a heart transplant

D.

a 6-month-old baby needing bowel surgery

A 35-year-old Latin-American client wishes to lose weight to reduce her chances of developing heart disease and diabetes. The client states, “I do not know how to make my diet work with the kind of foods that my family eats.” What should the nurse do first to help the client determine a suitable diet for disease prevention?

A.

Provide her with copies of the approved dietary guidelines for the American Diabetic Association and the American Heart Association.

B.

Ask the client to provide a list of the types of foods she eats to determine how to best meet her needs.

C.

Provide a high-protein diet plan for the client.

D.

Provide the client with information related to risk factors for heart disease and diabetes.

Rehabilitation services begin:

A.

when the client enters the health care system.

B.

after the client requests rehabilitation services.

C.

after the client’s physical condition stabilizes.

D.

when the client is discharged from the hospital.

A client with asthma develops respiratory acidosis. Based on this diagnosis, what should the nurse expect the client’s serum potassium level to be?

A.

normal

B.

elevated

C.

low

D.

unrelated to the pH

An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?

A.

knowledge that elder abuse is rare

B.

personal belief that abuse is deserved

C.

lack of developmentally appropriate screening tools

D.

fear of reprisal or further violence if the incident is reported

A client is told that his test is positive, but in fact, the client does not have the disease tested for. Which type of false report is this an example of?

A.

positive

B.

false positive

C.

negative

D.

false negative

Signs of impaired breathing in infants and children include all of the following except:

A.

nasal flaring.

B.

grunting.

C.

seesaw breathing.

D.

quivering lips.

A syringe pump is a type of electronic infusion pump used to infuse fluids or medications directly from a syringe. This device is commonly used for:

A.

solutions administered in obstetrics.

B.

dilute antibiotics.

C.

large volumes of IV solution.

D.

the neonatal and pediatric populations.

As part of a routine health screening, the nurse notes the play of a 2-year-old child. Which of the following is an example of age-appropriate play at this age?

A.

builds towers with several blocks

B.

tries to color within the lines

C.

says “Mine!” when playing with toys

D.

tries to jump rope

Quality is defined as a combination of all of the following except:

A.

conforming to standards.

B.

performing at the minimally acceptable level.

C.

meeting or exceeding customer requirements.

D.

exceeding customer expectations.

A nurse observes a client sitting alone and talking. When asked, the client reports that he is “talking to the voices.” The nurse’s next action should be:

A.

touching the client to help him return to reality.

B.

leaving the client alone until reality returns.

C.

asking the client to describe what is happening.

D.

telling the client there are no voices.

The role of the incident report in risk management is:

A.

liability protection.

B.

to provide data for analysis by a risk manager to determine how future problems can be avoided.

C.

to discipline staff for errors.

D.

all of the above.

A hospitalized client has just been informed that he has terminal cancer. He says to the nurse, “There must be some mistake in the diagnosis.” The nurse determines that the client is demonstrating which of the following?

A.

denial

B.

anger

C.

bargaining

D.

acceptance

What significant event occurs in the orientation phase of a nurse-client relationship?

A.

establishment of roles

B.

identification of transference phenomenon

C.

placement of the client within the client’s family structure

D.

client agreement that the nurse has the authority in the relationship