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

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Page: 13 / 15
Total 725 questions

A client begins a regimen of chemotherapy. Her platelet counts falls to 98,000. Which action is least likely to increase the risk of hemorrhage?

A.

Test all excreta for occult blood.

B.

Use a soft toothbrush or foam cleaner for oral hygiene.

C.

Implement reverse isolation.

D.

Avoid IM injections.

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.

emotional behavioral indicator

B.

spiritual indicator

C.

sociocultural indicator

D.

intellectual indicator

The client’s lab culture report is negative for a suspected infection. A test that can correctly identify those who do not have a given disease is:

A.

specific.

B.

sensitive.

C.

negative culture.

D.

marginal finding.

The family carries out its health care functions in which of the following ways?

A.

Family provides very little preventive health care to its members at home.

B.

Family provides sick care to its members.

C.

Family pays for most health services.

D.

Family decides when and where to hospitalize its members.

The most effective nursing strategy to assist a client in recognizing and using personal strength includes:

A.

encouraging the client’s self-identification of strengths.

B.

promoting the client’s active external thinking.

C.

listening to the client and providing advice as needed.

D.

assisting the client in maintaining an external locus of control.

During the health screening of an adolescent, which finding by the nurse requires further teaching?

A.

The client started her first menses 2 years ago.

B.

The client states she is currently on birth control pills.

C.

The client states she recently lost 5 pounds.

D.

The client states she is experiencing growing pains.

The nurse sustains a needle puncture that requires HIV prophylaxis. Which of the following medication regimens should be used?

A.

an antibiotic such as Metronidazole and a protease inhibitor (Saquinivir)

B.

two non-nucleoside reverse transcriptase inhibitors

C.

one protease inhibitor such as Nelfinavir

D.

two protease inhibitors

A 24 year-old man has been admitted to the hospital due to work-related back injury. The patient’s wife would like to see the patient’s chart. The nurse should:

A.

Provide the chart to the patient’s wife following verbal approval by the patient.

B.

Provide the chart to the patient’s wife after consulting with the patient’s physician.

C.

Get written approval from the patient prior to providing the wife with chart information and call the MD about the patient’s request.

D.

Tell the patient’ wife, a copy of the patient’s medical record is on-file with medical records.

A patient is scheduled for electro-convulsive therapy treatment scheduled in the morning. What must the evening nurse do to provide the client ECT treatment possible?

A.

Patient signs an informed consent form

B.

Patient is given morning medications

C.

Patient gets a good night’s sleep

D.

Patient has a good breakfast

The best definition of communication is:

A.

the sending and receiving of messages.

B.

the effect of sending verbal messages.

C.

an ongoing, interactive form of transmitting transactions.

D.

the use of message variables to send information.

The nurse is teaching a client about communicable diseases and explains that a portal of entry is:

A.

a vector.

B.

a source, like contaminated water.

C.

food.

D.

the respiratory system.

A nurse is assessing a patient in the ICU. The patient has the following signs: weak pulse, quick respiration, acetone breath, and nausea. Which of the following conditions is most likely occurring?

A.

Hypoglycemic patient

B.

Hyperglycemic patient

C.

Cardiac arrest

D.

End-stage renal failure

A nurse is working in an outpatient orthopedic clinic. During the patient’s history the patient reports, “I tore 3 of my 4 Rotator cuff muscles in the past.” Which of the following muscles cannot be considered as possibly being torn?

A.

Teres minor

B.

Teres major

C.

Supraspinatus

D.

Infraspinatus

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.”

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.