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

Page: 4 / 15
Total 725 questions

The nurse can best communicate to a client that he or she has been listening by:

A.

restating the main feeling or thought the client has expressed.

B.

making a judgment about the client’s problem.

C.

offering a leading question such as, “And then what happened?”

D.

saying, “I understand what you’re saying.”

A visitor accidentally knocks over a plastic pleural drainage system connected to a client, and it cracks. What should the nurse do first?

A.

Observe the client’s response.

B.

Notify the physician.

C.

Change the drainage system.

D.

Observe for leaks.

Nursing care for a client undergoing chemotherapy includes assessment for signs of bone marrow depression. Which finding accounts for some of the symptoms related to bone marrow depression?

A.

erythrocytosis

B.

leukocytosis

C.

polycythemia

D.

thrombocytopenia

A serious complication of a total hip replacement is displacement of the prosthesis. What is the primary sign of displacement?

A.

pain on movement and weight bearing

B.

hemorrhage

C.

affected leg appearing 1–2 inches longer

D.

edema in the area of the incision

Delegation of tasks to appropriate personnel allows the nurse to:

A.

take a break.

B.

keep other members of the team productive.

C.

maintain tight control of all aspects of the workflow.

D.

realize the importance of her role by making all decisions.

The nurse acts as an advocate for the nursing profession by performing all of the following activities except:

A.

encouraging political involvement by nurses with their legislators.

B.

acting as a first-aid provider for a children’s athletic team.

C.

precepting newly licensed nurses in the work situation.

D.

encouraging as many persons to become nurses as possible.

A client goes to the mental health center for difficulty concentrating, insomnia, and nightmares. The client reports being raped as a child. The nurse should assess the client for further signs of:

A.

general anxiety disorder.

B.

schizophrenia.

C.

post-traumatic stress disorder.

D.

bipolar disorder.

In the United States, several definitions of death are currently being used. The definition that uses apnea testing and pupillary responses to light is termed:

A.

whole brain death.

B.

heart-lung death.

C.

circulatory death.

D.

higher brain death.

A client asks the nurse if all donor blood products are cross-matched with the recipient to prevent a transfusion reaction. Which of the following always requires cross-matching?

A.

packed red blood cells

B.

platelets

C.

plasma

D.

granulocytes

When caring for a Native-American family, the nurse needs to consider which of the following?

A.

The family consists solely of the parents and children.

B.

Native Americans tend to be future oriented.

C.

Some Native Americans use herbs and psychologic treatment of illnesses.

D.

Health care is usually prescribed by a medicine man (shaman).

The intravenous route is potentially the most dangerous route of drug administration because:

A.

the IV might infiltrate.

B.

it is expensive and nursing intensive.

C.

rapid administration of a drug can lead to toxicity.

D.

the client always has more side effects.

Which of the following attitudes is essential in a nurse who assists clients during crises?

A.

viewing crisis intervention as the first step in solving bigger problems

B.

wanting to help clients solve all problems identified

C.

taking an active role in guiding the process

D.

feeling that work requires identification with all of a client’s problems

As a type of quality indicator, an example of a structure standard is:

A.

a written philosophy.

B.

a procedure for a straight catheterization.

C.

a protocol for treatment of a client with chest pain.

D.

the diagnostic work-up for a client with abdominal pain.

The primary organ for drug elimination is the:

A.

skin.

B.

lung(s).

C.

kidney(s).

D.

liver.

Who should receive the hepatitis A vaccine?

A.

children who are 18 months of age

B.

infants, who should receive the vaccination at birth

C.

people who travel to other countries

D.

individuals who might come into contact with blood