QUESTION AND ANSWERS WELL DETAILED NCLEX-PN ® TESTQUESTIONS

D ANSWERS WELL DETAILED lOMoAR cPSD|8981423 NCLEX PN-TESTBANK-NCLEX TEST BANKQUESTION AND ANSWERS WELL DETAILED NCLEX-PN ® TESTQUESTIONS ThefollowingquestionsaresimilartothosethatmayappearontheNCLEXRN®Cexam.Somequestionsmayhavemore HAPTER1 thanonecorrectresponse.Duringthisreview,youshouldselecttheonebestresponse. 1.1Aclientisbeingdischargedandneeds instructions on wound care.Whenplanningtoteachtheclient, thenurseshould: a. identifytheclient’slearningneedsa ndlearningability. b. identifytheclient’slearningneedsa ndadvisehimwhattodo. c. identifytheclient’sproblemsandm aketheappropriatereferral. d. providepamphletsorvideotapesforo ngoinglearning. Answer:a Rationale:Toprovidethemostappropriateteaching,thenursefirstneedstoidentifywhat theclientneedstoknowanddeterminetheclient’seducationallevelandlearningabilit y. Comprehension Implementation HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems 1.2Aclientisrequestingasecondopinion.T henursewhosupportsandpromotesthecli ent’srightsisactingastheclient’s: a. teacher. b. adviser. c. supporter. d. advocate. Answer:d Rationale:Thenurse’sroleasclientadvocateinvolvesactivelypromotingclients’right stomakedecisionsandchoices. Comprehension Assessment Safe,EffectiveCareEnvironment:CoordinatedCare HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems 1.3Theclient tellsthenurse shehasbeensmokingonepackofcigarettes adayforthepast20years.Thenurserecogniz es thisiswhatpartofthenursingprocess? a. assessment b. planning c. implementation d. evaluation Answer:a Rationale:Datacollectionoccursduringtheassessmentphase;theinformationcan be obtained during the initial assessment as well as during ongoingassessment. Knowledge Assessment HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems 1.4During the assessment step of thenursing process, the nurse collectssubjectiveandobjectivedata.Thenu rseusesthe information to identify: a. medicaldiagnoses. b. actualorpotentialproblems. c. client’sresponsetoillness. d. needforcommunitysupportgroups. Answer:b Rationale:Informationobtainedduringtheassessmentstepisusedinplanningandim plementingnursingcare, basedontheproblemsidentifiedfromtheassessmentdata. Analysis Planning HealthPromotion:Preventionand/orEarlyDetectionofHealthProblem 1.5Thenurseperformsdaily,routine equipment checks to detect possiblemalfunction. This is part of the nurse’sroleinthe: a. nursingprocess. b. qualityassuranceplan. c. caremanagement. d. assessmentplan. Answer:b Rationale:Qualityofcareisevaluatedthroughdocumentationreviews,inte rviewsandsurveys,observationandequipmentchecks. ApplicationImpl ementation HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems 1.6Thenurseisdevelopinganursing diagnosis for a client who has pneumonia. The nurse recognizesthe diagnosis describes an actual orpotentialproblemthat: rsecantreatindependently. Answer:a Rationale:Nursingdiagnosesreflectclientproblemsthatthenursecantreatindependently . Application Planning Safe,EffectiveCareEnvironment:CoordinatedCare lOMoAR cPSD|8981423 398 NCLEX -PN®TestBankQuestions ©2007PearsonEducation,Inc. lOMoAR cPSD|8981423 b. thenursecantreatwithaphysician’s order. c. requiresphysician’sintervention. d. relatestotheclients’primarydia gnosis. 1.7Afteradministeringpainmedication,t henursereturnstochecktheclient’slevelof comfort.Thisstageofthenursingprocessi sknownas: a. assessment. b. planning. c. implementation. d. evaluation. Answer:d Rationale:Intheevaluationstepthenursedeterminesiftheinterventionswereeffec tive. Analysis/Diagnosis Evaluation Safe,EffectiveCareEnvironment:CoordinatedCare 1.8A client has lost 10 pounds relatedtonauseaandvomiting.Thenursei dentifies an appropriate expectedoutcome:Theclientwill: a. gain weight. b. gain2poundswithin1week. c. notloseweight. d. gain10poundsin 2days. Answer:b Rationale: Expected outcomes should reflect a goal that is client centered,realistic,andmeasurable.Answersaandcarenotmeasurable;disnotrealistic. Analysis/Diagnosis Planning PhysiologicalIntegrity:PhysiologicalAdaptation 1.9A problem-solving process thatrequiresempathy, knowledge, divergentthinking, discipline, and creativity isknownas: a. criticalthinking. b. nursingprocess. c. frameworkfornurses. d. caremanagement. Answer:a Rationale:Criticalthinkinginvolvesselfdirectedthinking,combiningthenurse’scognitiveskillsaswellasattitude,experience,empat hy,anddiscipline. ComprehensionA nalysis/Diagnosis Safe,EffectiveCareEnvironment:CoordinatedCare 1.10Attheendoftheshift,thenurseisreadyt oleavebuthasnotbeenrelievedbytheonco mingshiftnurse.Thenurse’sresponsibility to provide care for clientsispartofthenurse’s: a. CodeofEthics. b. nursingprocess. c. criticalthinking. d. qualityassurance. Answer:a Rationale: The Code of Ethics guides the behavior of nurses. The nurse’s primarycommitmentistotheclient, ensuringheorshereceivessafe, competent, andcontinualcare. Comprehension Implementation Safe,EffectiveCareEnvironment:CoordinatedCare CHAPTER2 2.1AccordingtoHavighurst,the Answer:a developmentaltasksthatdescribeadults Rationale:Thesetasksoccurpredominantlyintheyoungadultagegroup. aslearningtolivewithamate,have Knowledge children,andholdajobarefoundin Assessment whichofthefollowingstages? HealthPromotion:GrowthandDevelopment adult(18–35yearsofage) eadult(36–60yearsofage) adult(over60yearsofage) ctiveadult(18–60yearsofage) 2.2Whencaring forthemiddleage Answer:c adultthenurserecognizesamajorrisk Rationale:Duetoadecreaseinbasalmetabolicrateandoftenactivitylevelas factoris: well,themiddleadultisatriskforweightgainandobesity. ettesmoking. Comprehension ple sex partners. Integrativeprocess:Assessment asedphysicalactivity. Testplan:HealthPromotion:Preventionand/orEarlyDetectionofHealth ty. Problems ©2007PearsonEducation,Inc. NCLEX-PN®TestBankQuestions 399 lOMoAR cPSD|8981423 2.3Becauseofthephysiologicchanges inthegastrointestinalsystem,thenurseshou ldencouragetheolderadulttoconsumeadiet highin: a. Na. b. fiber. c. carbohydrates. d. calories. Answer:b Rationale:Adecreaseinperistalsiscanleadtoconstipation;increasingfiberinthedietwil lhelptocombatthis. Comprehension Planning HealthPromotion:GrowthandDevelopment 2.4Women in the middle adult agegroupareatriskforcancerofthebreasta ndreproductiveorgans. Thenursecansuggestthefollowinginhealth promotionteaching: a. “You need to contact your physicianaboutmammography.” b. “If there is not a history of cancer inthe women of your family, you neednotbeconcerned.” c. “Anannualphysicalexamisimporta nttodetectearlysignsandsymptoms ofcancer.” d. “SelfbreastexammonthlyandanannualPa psmeararenecessaryforearlydetecti onofcancer.” Answer:d Rationale:Thisoptiongivesthemostspecificrecommendationsforteststhatshould bedonetodetectcancer. Theotheroptionsprovidemoregeneralinformation. ApplicationImpl ementation HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems 2.5When teaching the old-old adult(over age 85) who has been diagnosedwithanewillness,thenursereco gnizesthisagegroup: a. needs client teaching at a slowerpace,withvisualaidsandrepetiti on. b. doesnotprofitfrompatientt eaching. c. learnsatthesamerateasyoungoldadults. d. isgenerallycognitivelyimpairedandu nabletolearnnewinformation. Answer:a Rationale:Duetoneurovascularandsensorylosses,olderadultsneedadjustmentinteachi