NCLEX-PN
PN Nclex Questions 2024 Questions
Extract:
Question 1 of 5
The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic aneurysm. Which assessment is most crucial during the preoperative period?
Correct Answer: C
Rationale: The most crucial assessment during the preoperative period for a client scheduled for surgical repair of a sacular abdominal aortic aneurysm is the identification of peripheral pulses. This is essential because during surgery, the aorta will be clamped, potentially affecting blood circulation to the kidneys and lower extremities. Monitoring peripheral pulses helps assess circulation to the lower extremities, ensuring adequate perfusion. While assessing the client's anxiety level (choice
A) is important, it is not as critical as monitoring peripheral pulses in this case. Evaluating exercise tolerance (choice
B) is not typically recommended preoperatively for this specific condition. Assessing bowel sounds and activity (choice
D) is also relevant but takes a lower priority compared to identifying peripheral pulses in this scenario.
Question 2 of 5
The nurse wishes to decrease a client's use of denial and increase the client's expression of feelings. To do this, the nurse should:
Correct Answer: B
Rationale: In the scenario provided, the nurse aims to reduce the client's use of denial and encourage the expression of feelings. Positive reinforcement for each expression of feelings is an effective approach to achieve this goal. By positively reinforcing the client's expression of feelings, the nurse encourages the desired behavior, making it more likely for the client to continue sharing their emotions. This approach creates a supportive and accepting environment for the client. In contrast, telling the client to stop using denial (
Choice
A) may create resistance and inhibit communication by putting pressure on the client. Instructing the client to express feelings (
Choice
C) is less effective as it lacks the element of reinforcement that is essential for behavior modification. Challenging the client each time denial is used (
Choice
D) may lead to defensiveness and hinder the therapeutic relationship, making it a less favorable option.
Question 3 of 5
A client with cancer is to undergo an intravenous pyelogram. The nurse should:
Correct Answer: B
Rationale: The correct answer is to ask the client to void immediately before the study. For an intravenous pyelogram, the client may have orders for laxatives or enemas, so ensuring the client voids before the test is important to prevent obscuring visualization of the kidney, ureters, and bladder.
Choice A is incorrect because there is no need to force fluids before the procedure.
Choice C is incorrect as medications affecting the central nervous system should not be held unless specified by the healthcare provider.
Choice D is incorrect as covering the reproductive organs with an x-ray shield is not necessary for an intravenous pyelogram.
Question 4 of 5
The nursing assistant hitting the client in the long-term care facility can be charged with:
Correct Answer: C
Rationale: Assault is the appropriate charge in this scenario. Assault involves physically striking or touching someone inappropriately. Negligence (
Choice
A) refers to failing to provide proper care for the client.
Tort (
Choice
B) is a wrongful act committed against the client or their property. Malpractice (
Choice
D) is the failure to perform an act that should have been done or the improper performance of an act resulting in harm to the client. Since the nursing assistant physically struck the client, the charge of assault is most fitting.
Question 5 of 5
After a client undergoes a left lower lobe lung resection for lung cancer, which post-operative measure would typically be included in the plan?
Correct Answer: A
Rationale: After a lung resection, such as the removal of the left lower lobe for lung cancer, closed chest drainage is a common post-operative measure to help drain any excess air or fluid from the chest cavity. A tracheostomy is not typically needed for this procedure, so choice B is incorrect. Similarly, a mediastinal tube is not routinely inserted following a left lower lobe lung resection, making choice C incorrect. Percussion vibration and drainage are not indicated for this type of surgery, so choice D is also incorrect.
Therefore, the correct answer is closed chest drainage.