NCLEX-RN
Health Promotion and Maintenance NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client with a history of depression will be participating in cognitive therapy for health maintenance. The client asks the nurse, 'How does this treatment work?' Which statement is most appropriate for the nurse to make to the client?
Correct Answer: D
Rationale: Cognitive therapy is frequently used with clients who have depression. This type of therapy is based on exploring the client's personal experience. It includes examining the client's thoughts and feelings about situations and how these thoughts and feelings contribute to and perpetuate the client's difficulties and mood. The development of new coping skills, gradually confronting fears, and reviewing one's past life in relation to your current problems are not characteristics of cognitive therapy.
Question 2 of 5
Clonazepam has been prescribed for the client, and the nurse teaches the client about the medication. Which statement by the client indicates that further teaching is necessary?
Correct Answer: A
Rationale: Clonazepam is a benzodiazepine. Clients who experience signs/symptoms of toxicity with the administration of clonazepam exhibit slurred speech, sedation, confusion, respiratory depression, hypotension, and eventually coma. Some drowsiness may occur, but it will decrease with continued use. The medication may be taken with food to decrease gastrointestinal irritation. The medication may be taken at bedtime if drowsiness does occur. Slurred speech indicates toxicity and should be reported immediately, not expected to disappear in 8 weeks.
Question 3 of 5
A client returns from surgery after having a colon resection. The nurse is performing an assessment and notes the wound edges have separated. This condition is called:
Correct Answer: C
Rationale: Wound dehiscence occurs when the edges of a wound pull apart. The condition may occur following a surgical procedure if the sutures were deficient. Wound dehiscence may also occur following a wound infection or in cases where a client significantly stretches or overuses the associated tissues. Evisceration refers to the protrusion of internal organs through an open wound. Hematoma is a localized collection of blood outside the blood vessels. Granulation is the formation of new connective tissue and tiny blood vessels on the surface of a wound during the healing process.
Question 4 of 5
The nurse is teaching an HIV-positive client who just delivered an HIV-positive full-term infant. Which statement by the client indicates a need for further teaching?
Correct Answer: A
Rationale: HIV is not curable; antivirals manage but do not eliminate the virus. Other statements are correct regarding transmission, breastfeeding, and infection risks.
Question 5 of 5
Which of the following conditions may cause an increased respiratory rate?
Correct Answer: D
Rationale: Anemia can lead to an increased respiratory rate. In anemia, there are decreased levels of hemoglobin in red blood cells, which are responsible for carrying oxygen to the body's tissues.
To compensate for the reduced oxygen-carrying capacity, the body increases the respiratory rate to bring in more oxygen.
Stooped posture (
Choice
A) is not directly related to an increased respiratory rate. Narcotic analgesics (
Choice
B) are more likely to cause a decreased respiratory rate due to their central nervous system depressant effects. Injury to the brain stem (
Choice
C) can affect respiratory function but may not necessarily lead to an increased respiratory rate.