NCLEX-PN
NCLEX Question of The Day Questions
Extract:
Question 1 of 5
A child with newly diagnosed leukemia is receiving chemotherapy. Which would be included in his plan of care by the nurse?
Correct Answer: D
Rationale: The correct answer is to teach family and visitors handwashing techniques. Any client on chemotherapy should have good infection control measures in place, such as handwashing by all who they encounter. Placing the child in a negative pressure isolation room (
Choice
A) is not necessary unless specifically indicated for a certain condition. Administering prophylactic IV antibiotics (
Choice
B) may not be part of the standard care plan for a child with leukemia receiving chemotherapy. Avoiding high protein food intake (
Choice
C) is not directly related to infection control and may not be necessary unless there are specific dietary restrictions.
Question 2 of 5
The client with obsessive-compulsive disorder (OCD) is asking for help with the repetitive behaviors. The nurse knows that these are a method of dealing with:
Correct Answer: D
Rationale: The correct answer is D: Anxiety. Repetitive behaviors in OCD serve as a way for individuals to cope with their anxiety. These behaviors are often performed to reduce the distress caused by obsessive thoughts.
Choice A, fearful situations, is incorrect because the behaviors are more related to managing anxiety rather than fear itself.
Choice B, depression, is incorrect as OCD behaviors are not typically a method of coping with depression.
Choice C, delusions, is also incorrect as these behaviors are not aimed at managing delusional thoughts but rather anxiety in OCD.
Question 3 of 5
A client delivered a term male infant four hours ago. The infant was stillborn. Which room assignment would be most appropriate for this client?
Correct Answer: A
Rationale: In this situation, the most appropriate room assignment for the client who delivered a stillborn infant would be to request a private room on the GYN floor. This client needs privacy to grieve, and having a private space allows for family members to offer support. Placing her in a GYN unit ensures that she is away from the maternity unit's sights and sounds, which could be painful reminders for her. Assigning her to a postpartum unit may cause distress due to the presence of other mothers and newborns. Discharging her home too early may not allow her sufficient time for emotional and physical recovery. Rooming her with another client who experienced a pregnancy loss may not provide the necessary privacy and space she needs for her emotional well-being.
Question 4 of 5
The manic client has just interrupted the group session with the counselor for the 4th time, explaining that she already knows this information on 'dealing with others when you are down' and constantly gets up and goes to the front. What should the nurse do at this time?
Correct Answer: A
Rationale: In this situation, it is important to redirect the client's energy and focus. Engaging the client in a purposeful activity like making another pot of coffee can help distract them from disruptive behavior and provide an outlet for their excess energy. This choice also helps in maintaining a therapeutic environment by involving the client in a constructive task. Asking the client to reflect on their behavior (
Choice
B) might not be effective during a manic episode as the client may not be in a state to critically analyze their actions. Asking the group to tell the client how they feel (
Choice
C) can escalate the situation and may not be appropriate in this context. Instructing the client to perform jumping jacks and count aloud (
Choice
D) may not address the underlying issue of disruptive behavior and may not be suitable for the current situation.
Question 5 of 5
The nurse observes a nursing assistant performing AM care for a client with a new leg cast. Which action by the assistant will the nurse intervene?
Correct Answer: B
Rationale: The correct answer is to intervene when the assistant covers the affected leg with a blanket to avoid chills. A new cast should not be covered to allow the heat from the cast to evaporate, preventing complications. Lifting the affected leg with the palms of the hands is appropriate for proper handling. Placing plastic over the groin prior to bathing is a standard practice to protect the client's privacy and maintain hygiene. Elevating the casted leg on two pillows helps reduce swelling and promote circulation, making it a suitable action.