NCLEX Questions, NCLEX Trainer Test 6 Questions, NCLEX-PN Questions, Nurselytic

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NCLEX Trainer Test 6 Questions

Extract:


Question 1 of 5

A client was admitted to the psychiatric unit after complaining to her friends and family that neighbors have bugged her home in order to hear all of her business. She remains aloof from other clients, paces the floor and believes that the hospital is a house of torture. Nursing interventions for the client should appropriately focus on efforts to

Correct Answer: C

Rationale: Provide interactions to help the client learn to trust staff. Establishing trust helps clients feel safer and facilitates a therapeutic alliance between staff and client.

Question 2 of 5

Privacy and confidentiality of all client information is legally protected. In which of these situations would the nurse make an exception to this practice?

Correct Answer: B

Rationale: When the client threatens self-harm and harm to others. Confidentiality can be breached to ensure safety, per legal precedents like the Tarasoff decision.

Extract:

A client chief complaint in a nursing health history.


Question 3 of 5

Which of the following is an example of a properly recorded client chief complaint in a nursing health history?

Correct Answer: C

Rationale: Strategy: Think about each answer choice. (1) incorrectly stated (2) objective finding (3) correct-chief complaint should be recorded using the client's own words (4) objective finding

Extract:

A 23-year-old woman in active labor.


Question 4 of 5

The nurse observes the fetal heart monitor for a 23-year-old woman in active labor. The fetal heart tracing shows early fetal decelerations. The nurse is aware that this is

Correct Answer: A

Rationale: Strategy: Think about each answer choice. (1) correct-occurs in response to compression of fetal head, uniform shape corresponds to rise in intrauterine pressure as uterus contracts, does not indicate fetal distress (2) does not indicate fetal distress (3) slowing is early in the contraction (4) slowing is early in uterine contraction and is not abnormal

Extract:


Question 5 of 5

The nurse is planning care for a 2 year-old hospitalized child. Which of the following will produces the most stress at this age?

Correct Answer: A

Rationale: Separation anxiety. While a toddler will experience all of the stresses, separation from parents is the major stressor.

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