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NCLEX Leadership and Management Questions and Answers () (Verified Answers).pdf

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NCLEX Leadership and Management Questions and Answers () (Verified Answers).pdf

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NCLEX Leadership And Management
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NCLEX Leadership and Management

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RNj NCLEXj QUESTIONSj ANDj ANSWERS



Ajnursejisjcaringjforjanjolderjadultjclientjwhojhasjajnewjdiagnosisjofjtypej2jdiabetesjmellitusjandjreportsjdif
ficultyjfollowingjthejdietjandjrememberingjtojtakejthejprescribedjmedication.

Whichjofjthejfollowingjactionsjshouldjthejnursejtakejtojpromotejclientjcompliance?j(SATA)

A. Askjthejdietitianjtojassistjwithjmealjplanning

B. Contactjthejclient'sjsupportjsystem

C. Assessjforjage-relatedjcognitivejawareness

D. Encouragejthejusejofjajdailyjmedicationjdispenser

E. Providejeducationaljmaterialsjforjhomejusej-janswerA,jB,jD,jE

AjclientjwithjdiabetesjmellitusjhasjajglycosylatedjhemoglobinjA1cjleveljofj8%.jOnjthejbasisjofjthisjtestjre
sult,jthejnursejplansjtojteachjthejclientjaboutjthejneedjforjwhichjmeasure?

A. Avoidingjinfection

B. Takingjinjadequatejfluids

C. Preventingjandjrecognizingjhypoglycemia

D. Preventingjandjrecognizingjhyperglycemiaj-

answerDjRationale:
j



ThejnormaljreferencejrangejforjthejglycosylatedjhemoglobinjA1cjisjlessjthanj6.0%.jThisjtestjmeasuresjt
hejamountjofjglucosejthatjhasjbecomejpermanentlyjboundjtojthejredjbloodjcellsjfromjcirculatingjgluc
ose.jErythrocytesjlivejforjaboutj120jdays,jgivingjfeedbackjaboutjbloodjglucosejforjthejpastj120jdays.jElev
ationsjinjthejbloodjglucosejleveljwilljcausejelevationsjinjthejamountjofjglycosylation.jThus,jthejtestjisju
sefuljinjidentifyingjclientsjwhojhavejperiodsjofjhyperglycemiajthatjarejundetectedjinjotherjways.jTheje
stimatedjaveragejglucosejforjajglycosylatedjhemoglobinjA1cjofj8%jisj205jmg/dLj(11.42jmmol/L).jElevatio
nsjindicatejcontinuedjneedjforjteachingjrelatedjtojthejpreventionjofjhyperglycemicjepisodes.

Thejnursejisjinstructingjajclientjhowjtojperformjajtesticularjself-
examinationj(TSE).jThejnursejshouldjexplainjthatjwhichjisjthejbestjtimejtojperformjthisjexam?

A. Afterjajshowerjorjbath

B. Whilejstandingjtojvoid

C. Afterjhavingjajboweljmovement

D. Whilejlyingjinjbedjbeforejarisingj-

answerAjRationale:
j

,ThejnursejneedsjtojteachjthejclientjhowjtojperformjajTSE.jThejnursejshouldjinstructjthejclientjtojperfor
mjthejexamjonjthejsamejdayjeachjmonth.jThejnursejshouldjalsojinstructjthejclientjthatjthejbestjtimejtoj
performjajTSEjisjafterjajshowerjorjbathjwhenjthejhandsjarejwarmjandjsoapyjandjthejscrotumjisjwarm.jP
alpationjisjeasierjandjthejclientjwilljbejbetterjablejtojidentifyjanyjabnormalities.jThejclientjwouldjstand
jto jperform jthe jexam, jbutjitjwouldjbe jdifficultjto jperformjthe jexamjwhilejvoiding.jHavingjajboweljmov

ementjisjunrelatedjtojperformingjajTSE.

Thejclinicjnursejpreparesjtojperformjajfocusedjassessmentjonjajclientjwhojisjcomplainingjofjsymptom
sjofjajcold,jajcough,jandjlungjcongestion.jWhichjshouldjthejnursejincludejforjthisjtypejofjassessment?jSe
lectjalljthatjapply.

A. Auscultatingjlungjsounds

B. Obtainingjthejclient'sjtemperature

C. Assessingjthejstrengthjofjperipheraljpulses

D. Obtainingjinformationjaboutjthejclient'sjrespirations

E. Performingjajmusculoskeletaljandjneurologicaljexamination

F. Askingjthejclientjaboutjajfamilyjhistoryjofjanyjillnessjorjdiseasej-

answerA,jB,jDjRationale:
j



Ajfocusedjassessmentjfocusesjonjajlimitedjorjshort-
termjproblem,jsuchjasjthejclient'sjcomplaint.jBecausejthejclientjisjcomplainingjofjsymptomsjofjajcold,ja
jcough,jandjlungjcongestion,jthe jnursejwouldjfocusjonjthe jrespiratoryjsystem jandjthe jpresencejofjanjin

fection.jAjcompletejassessmentjincludesjajcompletejhealthjhistoryjandjphysicaljexaminationjandjfor
msjajbaselinejdatabase.
Assessingjthejstrengthjofjperipheraljpulsesjrelatesjtojajvascularjassessment,jwhichjisjnotjrelatedjtojthis
jclient's jcomplaints. jAjmusculoskeletal jandjneurological jexaminationjalsojisjnotjrelatedjto jthisjclient's

jcomplaints. jHowever, jstrength jofjperipheraljpulsesjandjajmusculoskeletaljandjneurological jexaminat

ionjwouldjbejincludedjinjajcompletejassessment.jLikewise,jaskingjthejclientjaboutjajfamilyjhistoryjofja
nyjillnessjorjdiseasejwouldjbejincludedjinjajcompletejassessment.

ThejclinicjnursejisjpreparingjtojexplainjthejconceptsjofjKohlberg'sjtheoryjofjmoraljdevelopmentjwit
hjajparent.jThejnursejshouldjtelljthejparentjthatjwhichjfactorjmotivatesjgoodjandjbadjactionsjforjthej
childjatjthejpreconventionaljlevel?

A. Peerjpressure

B. Socialjpressure

C. Parents'jbehavior

D. Punishmentjandjrewardj-

answerDjRationale:
j



Injthejpreconventionaljstage,jmoralsjarejthoughtjtojbejmotivatedjbyjpunishmentjandjreward.jIfjthejchi
ldjisjobedientjandjisjnotjpunished,jthenjthejchildjisjbeingjmoral.jThejchildjseesjactionsjasjgoodjorjbad.j
Ifjthejchild'sjactionsjarejgood,jthejchildjisjpraised.jIfjthejchild'sjactionsjarejbad,jthejchildjis

,punished.jOptionsj1,j2,jandj3jarejnotjassociatedjfactorsjforjthisjstagejofjmoraljdevelopment.

Thejmaternityjnursejisjprovidingjinstructionsjtojajnewjmotherjregardingjthejpsychosocialjdevelopmentjo
fjthejnewbornjinfant.jUsingjErikson'sjpsychosocialjdevelopmentjtheory,jthejnursejinstructsjthejmotherjtoj
takejwhichjmeasure?

A. Allowjthejnewbornjinfantjtojsignaljajneed.

B. Anticipatejalljneedsjofjthejnewbornjinfant.

C. Attendjtojthejnewbornjinfantjimmediatelyjwhenjcrying.

D. Avoidjthejnewbornjinfantjduringjthejfirstj10jminutesjofjcrying.j-janswerA

Rationale:AccordingjtojErikson,jthejcaregiverjshouldjnotjtryjtojanticipatejthejnewbornjinfant'sjneedsja
tjalljtimesjbutjmustjallowjthejnewbornjinfantjtojsignaljneeds.jIfjajnewbornjinfantjisjnotjallowedjtojsigna
ljajneed,jthejnewbornjwilljnotjlearnjhowjtojcontroljthejenvironment.jEriksonjbelievedjthatjajdelayedjo
rjprolongedjresponsejtojajnewbornjinfant'sjsignaljwouldjinhibitjthejdevelopmentjofjtrustjandjleadjtoj
mistrustjofjothers.

AjnursingjstudentjisjpresentingjajclinicaljconferencejtojpeersjregardingjFreud'sjpsychosexualjstagesj
ofjdevelopment,jspecificallyjthejanaljstage.jThejstudentjexplainsjtojthejgroupjthatjwhichjcharacteristi
cjrelatesjtojthejanaljstage?

A. Thisjstagejisjassociatedjwithjtoiletjtraining.

B. Thisjstagejisjcharacterizedjbyjthejgratificationjofjself.

C. Thisjstagejisjcharacterizedjbyjajtaperingjoffjofjconsciousjbiologicaljandjsexualjurges.

D. Thisjstagejisjassociatedjwithjpleasurablejandjconflictingjfeelingsjaboutjthejgenitaljorgans.j-
janswerA



Rationale:

Injgeneral,jtoiletjtrainingjoccursjduringjthejanaljstage.jAccordingjtojFreud,jthejchildjgainsjpleasurejfromjth
ejeliminationjofjfecesjandjfromjtheirjretention.jOptionj2jrelatesjtojthejoraljstage.jOptionj3jrelatesjtojthejlat
encyjperiod.jOptionj4jrelatesjtojthejphallicjstage.

ThejnursejisjdescribingjPiaget'sjcognitivejdevelopmentaljtheoryjtojpediatricjnursingjstaff.jThejnu
rsejshouldjtelljthatjstaffjthatjwhichjchildjbehaviorjisjcharacteristicjofjthejformaljoperationsjstage?

A. Thejchildjhasjthejabilityjtojthinkjabstractly.

B. Thejchildjbeginsjtojunderstandjthejenvironment.

C. Thejchildjisjablejtojclassify,jorder,jandjsortjfacts.

D. Thejchildjlearnsjtojthinkjinjtermsjofjpast,jpresent,jandjfuture.j-

answerAjRationale:
j

, Injthejformaljoperationsjstage,jthejchildjhasjthejabilityjtojthinkjabstractlyjandjlogically.jOptionj2jidentifiesj
thejsensorimotorjstage.jOptionj3jidentifiesjthejconcretejoperationaljstage.jOptionj4jidentifiesjthejpreope
rationaljstage.

Thejmotherjofjanj8-year-
oldjchildjtellsjthejclinicjnursejthatjshejisjconcernedjaboutjthejchildjbecausejthejchildjseemsjtojbejmor
ejattentivejtojfriendsjthanjanythingjelse.jUsingjErikson'sjpsychosocialjdevelopmentjtheory,jthejnurs
ejshouldjmakejwhichjresponse?

A. "Youjneedjtojbejconcerned."

B. "Youjneedjtojmonitorjthejchild'sjbehaviorjclosely."

C. "Atjthisjage,jthejchildjisjdevelopingjhisjownjpersonality."

D. "Youjneedjtojprovidejmorejpraisejtojthejchildjtojstopjthisjbehavior."j-janswerC

Rationale:AccordingjtojErikson,jduringjschool-
agejyearsj(6jtoj12jyearsjofjage),jthejchildjbeginsjtojmovejtowardjpeersjandjfriendsjandjawayjfromjthejpar
entsjforjsupport.jThejchildjalsojbeginsjtojdevelopjspecialjinterestsjthatjreflectjhisjorjherjownjdevelopin
gjpersonalityjinsteadjofjthejparents'.jTherefore,joptionsj1,j2,jandj4jarejincorrectjresponses.

Thejnursejeducatorjisjpreparingjtojconductjajteachingjsessionjforjthejnursingjstaffjregardingjthejtheoriesj
ofjgrowthjandjdevelopmentjandjplansjtojdiscussjKohlberg'sjtheoryjofjmoraljdevelopment.jWhatjinformati
onjshouldjthejnursejincludejinjthejsession?jSelectjalljthatjapply

A. Individualsjmovejthroughjallj6jstagesjinjajsequentialjfashion.

B. Moraljdevelopmentjprogressesjinjrelationshipjtojcognitivejdevelopment.

C. Ajperson'sjabilityjtojmakejmoraljjudgmentsjdevelopsjoverjajperiodjofjtime.

D. Thejtheoryjprovidesjajframeworkjforjunderstandingjhowjindividualsjdeterminejajmoraljcodejtojgui
dejtheirjbehavior.

E. Injstagej1j(punishment-
obediencejorientation),jchildrenjarejexpectedjtojreasonjasjmaturejmembersjofjsociety.

F. Injstagej2j(instrumental-
relativistjorientation),jthejchildjconformsjtojrulesjtojobtainjrewardsjorjhavejfavorsjreturned.j-
janswerB, jC,jD,jF



Rationale:

Kohlberg'sjtheoryjstatesjthatjindividualsjmovejthroughjstagesjofjdevelopmentjinjajsequentialjfashionj
butjthatjnotjeveryonejreachesjstagesj5jandj6jinjhisjorjherjdevelopmentjofjpersonaljmorality.jThejtheor
yjprovidesjajframeworkjforjunderstandingjhowjindividualsjdeterminejajmoraljcodejtojguidejtheirjbeh
avior.jItjstatesjthatjmoraljdevelopmentjprogressesjinjrelationshipjtojcognitivejdevelopmentjandjthatjaj
person'sjabilityjtojmakejmoraljjudgmentsjdevelopsjoverjajperiodjofjtime.jInjstagej1,jagesj2jtoj3jyearsj(pu
nishment-
obediencejorientation),jchildrenjcannotjreasonjasjmaturejmembersjofjsociety.jInjstagej2,jagesj4jtoj7jye
arsj(instrumental-
relativistjorientation),jthejchildjconformsjtojrulesjtojobtainjrewardsjorjhavejfavorsjreturned.

Ajparentjofjaj3-year-oldjtellsjajclinicjnursejthatjthejchildjisjrebellingjconstantlyjandjhavingjtemper

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NCLEX Leadership and Management

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