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NCLEX Exam 1 Practice Questions NCLEX-RN / NCLEX-PN Prep with Answers Nursing Exam Questions and Rationales

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NCLEX Exam 1 Practice Questions NCLEX-RN / NCLEX-PN Prep with Answers Nursing Exam Questions and Rationales

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NCLEX RN
Course
NCLEX RN

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A nurse is providing care based on Maslow's hierarchy of basic human needs.
For which nursing activities is this approach useful?

a. Making accurate nursing diagnoses
b. Establishing priorities of care
c. Communicating concerns more concisely
d. Integrating science into nursing care


b. Maslow's hierarchy of basic human needs is useful for establishing priorities
of care.


The nurse is prioritizing nursing care for a patient in a long-term care facility.
Which examples of nursing interventions help meet physiologic needs? Select
all that apply.

a. Preventing falls in the facility
b. Changing a patient's oxygen tank
c. Providing materials for a patient who likes to draw
d. Helping a patient eat his dinner
e. Facilitating a visit from a spouse
f. Referring a patient to a cancer support group.


b, d. Physiologic needs—oxygen, water, food, elimination, temperature,
sexuality, physical activity, and rest—must be met at least minimally to maintain
life. Providing food and oxygen are examples of interventions to meet these
needs. Preventing falls helps meet safety and security needs, providing art
supplies may help meet self-actualization needs, facilitating visits from loved
ones helps meet self-esteem needs, and referring a patient to a support group
helps meet love and belonging needs.


The nurse caring for patients postoperatively uses careful hand hygiene and
sterile techniques when handling patients. Which of Maslow's basic human
needs is being met by this nurse?

a. Physiologic
b. Safety and security
c. Self-esteem
d. Love and belonging


b. By carrying out careful hand hygiene and using sterile technique, nurses
provide safety from infection. An example of a physiologic need is clearing a
patient's airway. Self-esteem needs may be met by allowing an older adult to talk
about a past career. An example of helping meet a love and belonging need is
contacting a hospitalized patient's family to arrange a visit.

,The nurse caring for patients in a long-term care facility knows that the highest
level on Maslow's hierarchy of needs is self-actualization needs. Which
statements accurately describe the achievement of self-actualization? Select all
that apply.

a. Humans are born with a fully developed sense of self-actualization.
b. Self-actualization needs are met by depending on others for help.
c. The self-actualization process continues throughout life.
d. Loneliness and isolation occur when self-actualization needs are unmet.
e. A person achieves self-actualization by focusing on problems outside self.
f. Self-actualization needs may be met by creatively solving problems.


c, e, f. Self-actualization, or reaching one's full potential, is a process that
continues throughout life. A person achieves self-actualization by focusing on
problems outside oneself and using creativity as a guideline for solving
problems and pursuing interests. Humans are not born with a fully developed
sense of self-actualization, and self-actualization needs are not met specifically
by depending on others for help. Loneliness and isolation are not always the
result of unmet self-actualization needs.


A nurse works with families in crisis at a community mental health care facility.
What is the best broad definition of a family?

a. A father, a mother, and children
b. A group whose members are biologically related
c. A unit that includes aunts, uncles, and cousins
d. A group of people who live together and depend on each other for support


d. Although all the responses may be true, the best definition is a group of
people who live together and depend on each other for physical, emotional, or
financial support.

, A nurse performs an assessment of a family consisting of a single mother, a
grandmother, and two children. Which interview questions directed to the single
mother could the nurse use to assess the affective and coping family function?
Select all that apply.

a. Who is the person you depend on for emotional support?
b. Who is the breadwinner in your family?
c. Do you plan on having any more children?
d. Who keeps your family together in times of stress?
e. What family traditions do you pass on to your children?
f. Do you live in an environment that you consider safe?


a, d. The five major areas of family function are physical, economic,
reproductive, affective and coping, and socialization. Asking who provides
emotional support in times of stress assesses the affective and coping function.
Assessing the breadwinner focuses on the economic function. Inquiring about
having more children assesses the reproductive function, asking about family
traditions assesses the socialization function, and checking the environment
assesses the physical function.


The nurse caring for families in a free health care clinic identifies psychosocial
risk factors for altered family health. Which example describes one of these risk
factors?

a. The family does not have dental care insurance or resources to pay for it.
b. Both parents work and leave a 12-year old child to care for his younger
brother.
c. Both parents and their children are considerably overweight.
d. The youngest member of the family has cerebral palsy and needs assistance
from community services.


b. Inadequate childcare resources is a psychosocial risk factor. Not having access
to dental care and obese family members are lifestyle risk factors. Having a
family member with birth defects is a biologic risk factor.

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