NCLEX-PN
Nclex 2024 Questions Questions
Question 1 of 5
When assessing a client in crisis, what should the nurse prioritize?
Correct Answer: C
Rationale: When a client is in crisis, the nurse's priority is to focus on immediate stress reduction. Crisis intervention aims to stabilize the client in the present moment by addressing the most pressing issues. Allowing the client to work through independent problem-solving (
Choice
A) may not be appropriate during a crisis as they might need immediate support. Completing an in-depth evaluation of stressors (
Choice
B) is important but not the immediate priority during a crisis. Recommending ongoing therapy (
Choice
D) may be considered later, but the immediate focus should be on reducing the client's stress and stabilizing the situation.
Question 2 of 5
During a school screening, a nurse notices small bruises on the anterior and posterior ribs of an 8-year-old Asian child. The nurse should ask the child:
Correct Answer: A
Rationale: The correct answer is to ask if the family practices coining. In Asian cultures, coining is a traditional practice believed to draw infections from the body. It involves rubbing a heated coin on the chest and torso, which can cause bruising similar to what the nurse noticed on the child's ribs. This question is important to differentiate between cultural practices and potential child abuse.
Choices B, C, and D are incorrect because assuming abuse without considering cultural practices can lead to misinterpretation and inappropriate actions. It's crucial for healthcare providers to be culturally sensitive and gather all relevant information before making conclusions.
Question 3 of 5
When planning care of a client who has been diagnosed with Amphetamine Abuse, the nurse should use the knowledge that:
Correct Answer: A
Rationale: The correct answer is that amphetamines increase energy by increasing dopamine levels at neural synapses. Amphetamines cause the release of norepinephrine and dopamine from storage vesicles into the synapse, leading to increased stimulation. It is important to note that clear patterns of tolerance and withdrawal have not been described with amphetamines.
Choice B is incorrect as prolonged or excessive use of amphetamines can lead to psychosis, indicating a potential for addiction.
Choice C is incorrect as the duration of the effects of amphetamines is typically longer than 2-4 hours.
Choice D is incorrect as addiction to amphetamines is not rare; in fact, drug cravings are common and can lead to relapse, indicating a significant risk of addiction.
Question 4 of 5
Incidences of child abuse appear to be higher in the African-American community and might be explained by:
Correct Answer: B
Rationale: Child abuse is often associated with lower socioeconomic status and single-parent households due to increased stress and fewer support systems.
Choice A is correct as single-parent households can face more challenges leading to a higher risk of child abuse.
Choice B is the correct answer as it aligns with the risk factors associated with child abuse.
Choice C is incorrect because there is no direct correlation between stricter child-rearing practices and child abuse rates.
Choice D is incorrect because attributing child abuse to a higher occurrence of rage in African Americans is a stereotype and lacks evidence.
Question 5 of 5
The women's health charge nurse is making assignments for the next shift. The unit is short one staff member and will receive a nurse from the medical-surgical unit. Which group of clients should she assign to the medical-surgical nurse?
Correct Answer: A
Rationale: The correct answer includes clients who have undergone surgical procedures typically managed on a medical-surgical unit.
Choice A consists of clients who have had elective surgical procedures such as hysterectomy, bladder suspension with A&P repair, and breast reduction, which are commonly treated in a medical-surgical setting.
Choices B, C, and D involve clients with various complications related to childbirth, fetal demise, pneumonia, gestational lymphoma, HELLP syndrome, and bed rest, which are more complex cases requiring specialized care beyond medical-surgical nursing.