NCLEX-PN
PN Nclex Questions 2024 Questions
Extract:
Question 1 of 5
In performing a psychosocial assessment, the nurse begins by asking questions that encourage the client to describe problematic behaviors and situations. The next step is to elicit the client's
Correct Answer: B
Rationale: In performing a psychosocial assessment, the nurse follows a structured approach, starting with encouraging the client to describe problematic behaviors and situations. The next step is to elicit the client's thoughts about what has been described. This step helps gather more assessment data and understand how the client interprets the situation. Asking about feelings, exploring possible solutions, and understanding the client's intent in sharing the description are more complex processes that come later in the assessment.
Therefore, the correct next step after describing behaviors and situations is to inquire about the client's thoughts.
Question 2 of 5
A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:
Correct Answer: A
Rationale: The correct answer is naloxone (Narcan). Naloxone is an opioid antagonist used to reverse opioid-induced respiratory depression and somnolence. In this scenario, the client's extreme somnolence and respiratory depression suggest an opioid overdose, making naloxone the appropriate choice to counteract these effects. Labetalol (Normodyne) is a nonselective beta-blocker used to treat hypertension, not opioid overdose. Neostigmine (Prostigmin) is a cholinesterase inhibitor used to reverse neuromuscular blockade, not opioid-induced respiratory depression. Thiothixene (Navane) is an antipsychotic medication used to treat schizophrenia and is not indicated for opioid overdose.
Question 3 of 5
The Token Economy is a type of therapy that focuses on:
Correct Answer: B
Rationale: The correct answer is 'behavior modification.' The
Token Economy is a form of behavior modification that involves providing positive reinforcement in the form of tokens or rewards for desired behaviors. This approach aims to increase the occurrence of positive behaviors by rewarding them. Play therapy (choice
A) focuses on using play as a medium for therapeutic communication, not specifically behavior modification. Milieu therapy (choice
C) involves shaping the environment to promote desired behaviors but is not the primary focus of the
Token Economy. 'Associative' (choice
D) is not directly related to the
Token Economy or its focus on behavior modification, making it an incorrect choice.
Question 4 of 5
The client is being assessed for possible pernicious anemia. Which finding would support this diagnosis?
Correct Answer: C
Rationale: The correct answer is a red, beefy tongue, which is characteristic of pernicious anemia due to the atrophy of the papillae on the tongue. This finding is known as glossitis. A red, beefy tongue is a classic sign of pernicious anemia.
Choice A, weight loss of 10 pounds in 2 weeks, is non-specific and not a typical finding in pernicious anemia.
Choice B, complaints of numbness and tingling in the extremities, are more indicative of peripheral neuropathy, a common symptom of vitamin B12 deficiency, which can be seen in pernicious anemia.
Choice D, a hemoglobin level of 12.0 g/dL, falls within the normal range and does not specifically point towards pernicious anemia, which is characterized by low hemoglobin levels due to impaired absorption of vitamin B12.
Question 5 of 5
A 12-year-old male is brought to his primary care provider to determine whether sexual abuse has occurred. The mother states, 'Because there is no permanent physical damage, he does not need any more treatment.' The nurse's response should be based on which of the following pieces of information?
Correct Answer: B
Rationale: Male children are sexually abused nearly as often as female children. Perpetrators are usually men but can be women. Needs of male children who have been sexually abused might be different from the needs of female survivors. Male survivors might respond in anger, question their sexuality, use alcohol and other drugs, and might try to prove their masculinity by performing daring acts.
Choice A is incorrect because male victims of sexual abuse can indeed have long-term psychological problems.
Choice C is incorrect as not all male sex abuse survivors grow up to abuse other children.
Choice D is incorrect as the needs of sexually abused children can vary based on gender and individual circumstances.