NCLEX-PN
2024 Nclex Questions Questions
Extract:
Question 1 of 5
The mother of a newborn child is very upset. The child has a cleft lip and palate. The type of crisis this mother is experiencing is:
Correct Answer: C
Rationale: The mother is experiencing a situational crisis as the unexpected birth of a child with a cleft lip and palate has placed her in a challenging situation she did not anticipate. This type of crisis is triggered by specific events and circumstances.
Choice A, reactive, implies responding to a stressor after it has occurred, which is not the case here.
Choice B, maturational, refers to stress related to developmental stages, not to external events like the child's condition.
Choice D, adventitious, involves crises resulting from events outside one's control, such as natural disasters, which do not apply in this scenario.
Question 2 of 5
What is the primary goal of family education?
Correct Answer: B
Rationale: The primary goal of family education is to improve the quality of life. Family education aims to enhance the overall well-being and functioning of both the individual with the condition and their family members. While increased knowledge about mental illness may be a beneficial outcome, it is not the primary objective of family education. Symptom reduction is more commonly associated with psychoeducation rather than family education. Improving caregiving skills is a component of family education, but the primary focus is on improving the quality of life for everyone involved in the caregiving process.
Question 3 of 5
A 6-year-old with cerebral palsy functions at the level of an 18-month-old. Which finding would support that assessment?
Correct Answer: B
Rationale: The correct answer is 'She pulls a toy behind her.' This behavior is consistent with the developmental stage of an 18-month-old who enjoys push-pull toys. Dressing oneself usually begins around 3 years old, building a tower of eight blocks at approximately 3 years old, and copying a horizontal or vertical line at about 4 years old.
Choices A, C, and D are incorrect as they represent skills that are typically observed in older children.
Question 4 of 5
As a type of quality indicator, an example of a structure standard is:
Correct Answer: A
Rationale: The correct answer is 'a written philosophy.' Structure standards define the conditions needed to operate a system and do not directly involve client care. Examples include philosophy, objectives, goals, hours of operation, and management responsibility.
Choices B, C, and D involve specific procedures and protocols related to client care, which are not structure standards.
Question 5 of 5
The client is taking rifampin 600mg po daily to treat his tuberculosis. Which action by the nurse indicates understanding of the medication?
Correct Answer: B
Rationale: The correct answer is telling the client that the medication will change the color of the urine. Rifampin can change the color of the urine and body fluid. Teaching the client about these changes is important as the client might think this is a complication. Answer A is incorrect because there is no specific requirement to take rifampin with juice. Answer C is incorrect because rifampin should be taken at consistent times, not necessarily before going to bed. Answer D is incorrect as rifampin should be taken regularly as prescribed, not based on symptoms like night sweats.