NCLEX-PN
Health Promotion and Maintenance NCLEX PN Questions Questions
Extract:
Question 1 of 5
After breast reconstruction secondary to breast cancer, the nurse should recognize which of the following expected client outcomes as evidence of a favorable response to nursing interventions related to disturbed body image?
Correct Answer: C
Rationale: Restored body integrity reflects a positive response to interventions addressing disturbed body image, helping the client feel whole post-reconstruction.
Question 2 of 5
After breast reconstruction secondary to breast cancer, the nurse should recognize which of the following expected client outcomes as evidence of a favorable response to nursing interventions related to disturbed body image?
Correct Answer: C
Rationale: Restored body integrity reflects a positive response to interventions addressing disturbed body image, helping the client feel whole post-reconstruction.
Question 3 of 5
During a home visit, the LPN finds a client taking Amiodarone. Which statement by the client indicates an understanding of potential drug side effects?
Correct Answer: B
Rationale: The correct answer is B. Amiodarone can cause increased photosensitivity, making it essential for the client to wear sunblock when exposed to sunlight.
Choice A is incorrect because numbing or tingling in the feet is not a common side effect of Amiodarone.
Choice C is unrelated as the drug does not typically require supplemental vitamin B12.
Choice D is also incorrect as there is no need to avoid leafy vegetables specifically due to Amiodarone.
Question 4 of 5
A nurse assisting with data collection of the peripheral vascular system performs the Allen test. The nurse understands that this test is used to determine the patency of which blood vessel(s)?
Correct Answer: D
Rationale: The nurse performs the Allen test to determine the patency of the radial and ulnar arteries. During the test, the nurse applies pressure over the client's ulnar and radial arteries simultaneously. The client is then asked to open and close the hand repeatedly, causing the hand to blanch. Subsequently, the nurse releases pressure from the ulnar artery while compressing the radial artery and checks the color of the extremity distal to the pressure point. If pinkness fails to return within 6 seconds, it indicates that the ulnar artery is insufficient, suggesting that the radial artery should not be used for obtaining a blood specimen.
Choice A (Capillaries) is incorrect as the Allen test assesses the patency of larger arteries, not capillaries.
Choice B (Pedal pulses) is incorrect as the Allen test specifically evaluates the radial and ulnar arteries, not the pedal pulses in the foot.
Choice C (Femoral arteries) is incorrect as the Allen test focuses on the radial and ulnar arteries in the hand, not the femoral arteries in the leg.
Question 5 of 5
A nurse working in a pediatric clinic and observes the following situations. Which of the following may indicate a delayed child to the nurse?
Correct Answer: A
Rationale: At 12 months a child should at least be 'cruising' (holding on to objects to walk).