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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

A client asks the nurse, 'Do you think I should leave my husband?' The nurse responds, 'You aren't sure if you should leave your husband?' The nurse is using which therapeutic technique?

Correct Answer: C

Rationale: Reflecting is correct because the nurse is referring feelings back to the client to explore. When restating, the nurse simply repeats what the client said. Reframing is offering a new way to look at a situation. The nurse's response is specific; it isn't offering a general lead.

Extract:

When giving health and safety hazards on a mother with a 3-month-old infant, the nurse should emphasize that


Question 2 of 5

tiny objects must be removed from crib.

Correct Answer: A

Rationale: By 4 months of age, infants pick up anything within reach and put it in their mouth, making tiny objects in the crib a choking hazard.

Extract:


Question 3 of 5

The RN delegates the task of taking vital signs of all the clients on the medical-surgical unit to an unlicensed assistive personnel (UAP). Specific written and verbal instructions are given to not take a post-mastectomy client's blood pressure on the left arm. Later as the RN is making rounds, the nurse finds the blood pressure cuff on that client's left arm. Which of these statements is most immediately accurate?

Correct Answer: D

Rationale: The UAP is responsible for carrying out the activity correctly once directions have been clearly communicated especially if given verbally and in writing.

Question 4 of 5

The nurse is caring for a preschool-aged child admitted with a diagnosis of suspected child abuse. During painful procedures, the child remains quiet and watchful. When planning the care of a victim of child abuse, the nurse should give priority to:

Correct Answer: B

Rationale: Assigning a consistent caregiver will best meet the child's need for safety and security. Playtime will be therapeutic for the child, but it does not have to be with same-age children, so answer A is incorrect. Answer C is too threatening to the child who has been abused, so it is incorrect. Answer D does not allow the child the chance to respond in an expected way, so it is incorrect.

Extract:

The most sensitive and easily quantifiable measure of circulatory status in a child is


Question 5 of 5

The most sensitive and easily quantifiable measure of circulatory status in a child is

Correct Answer: C

Rationale: Capillary refill time is a quick, sensitive indicator of perfusion in children.

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