NCLEX-PN
Nclex Questions Management of Care Questions
Extract:
Question 1 of 5
A gastroenterologist should be consulted for clients suffering from:
Correct Answer: A
Rationale: A gastroenterologist specializes in treating diseases and disorders of the digestive system, including the stomach, intestines, liver, and pancreas.
Therefore, clients with digestive system diseases should consult a gastroenterologist.
Choices B, C, and D are incorrect because urinary system diseases are managed by urologists, female reproductive system diseases by gynecologists, and nervous system diseases by neurologists.
Question 2 of 5
What is distraction therapy?
Correct Answer: A
Rationale: Distraction therapy involves directing attention away from pain towards positive stimuli, which can help reduce the perception of pain.
Choice A is the correct answer as it accurately defines distraction therapy. Cognitive reappraisal (
Choice
B) involves changing the way one thinks about a situation to alter its emotional impact, which is different from distraction therapy.
Choice C is incorrect because distraction therapy does not involve replacing images of pain with other images, but rather focusing on something unrelated.
Choice D is incorrect as distraction therapy does not necessarily involve medication or meditation, but rather the redirection of attention.
Question 3 of 5
When a drug is listed as Category X and prescribed to women of child-bearing age/capacity, the nurse and the interdisciplinary team should counsel the client that:
Correct Answer: B
Rationale: When a drug is categorized as Category X, it signifies that there are significant risks of fetal abnormalities if taken during pregnancy. For this reason, women of child-bearing age/capacity should use reliable forms of birth control to prevent pregnancy while on the medication. This ensures that the client avoids the potential harm to the fetus. Option A is incorrect because pregnancy tests are not unreliable due to the drug, but rather the risk is related to potential harm to the fetus. Option C is incorrect as avoiding the drug only on days of intercourse does not provide sufficient protection against pregnancy. Option D is incorrect as the need for an endocrinologist is not directly related to the use of Category X drugs.
Question 4 of 5
What is involved in client education by the nurse?
Correct Answer: B
Rationale: Client education by the nurse involves providing accurate and understandable information to the client. It is essential to offer relevant details without overwhelming them, making choice B the correct answer.
Choice A is incorrect because providing excessive details can confuse the client rather than empower them with necessary knowledge.
Choice C is incorrect as it is not the role of the nurse to question the reality of a client's pain; instead, they should address and manage the pain effectively.
Choice D is incorrect as client education focuses on providing information and empowering clients with knowledge, not just administering medication.
Question 5 of 5
When managing time effectively, which of the following stimuli should the nurse respond to first?
Correct Answer: D
Rationale: The correct answer is to attend to the care needs of the returning postoperative client just exiting the elevator first. In a healthcare setting, patient care should always take precedence, especially for complex or unstable clients requiring immediate assessment and care. The physician's loud verbal direction, the nursing supervisor going to a meeting, and unit staff leaving on a break are important but do not involve direct patient care.
Therefore, the nurse should prioritize responding to the returning postoperative client to ensure their immediate needs are met.