NCLEX-RN
Health Promotion NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse is working with a client who has just been diagnosed with pancreatic cancer. The client says, 'I have so much left to do. I'm too young to die like this.' Which of the following stages of Kübler-Ross's five stages of grieving does the nurse recognize in this client?
Correct Answer: C
Rationale: The client's statement reflects bargaining, expressing a desire to delay death to accomplish more.
Question 2 of 5
The home care nurse visits a client who was recently diagnosed with cirrhosis and provides home care management instructions to the client. Which statement by the client indicates the need for further teaching?
Correct Answer: C
Rationale: Cirrhosis is a chronic liver disease, and acetaminophen (Tylenol) should be avoided because it can cause fatal liver damage in clients with cirrhosis. Adequate rest, regular weight monitoring, and sufficient carbohydrate intake (2000 to 3000 calories daily) are appropriate for managing cirrhosis.
Question 3 of 5
The nursing student is providing care to a preschooler diagnosed with an immunocompromised condition. The nursing instructor is reviewing with the nursing student a list of potential immunizations to be administered to this client. Which immunizations should the nursing student identify as safe to administer to this client?
Correct Answer: C,E,F
Rationale: DTaP, influenza, and meningococcal immunizations are recommended for immunocompromised clients. These vaccines provide either passive immunity or the risk of complications from the potential illness outweigh the risk of the immunization. An immunocompromised individual under ordinary circumstances should not receive a live or attenuated vaccine. OPV, MMR, and varicella are all categorized as live or attenuated vaccines.
Question 4 of 5
Which instruction should the nurse include in the teaching plan for a client taking iron supplements to correct iron deficiency anemia?
Correct Answer: D
Rationale: The client should avoid taking the iron supplements with milk or antacids because these items decrease the absorption of iron. The client should also avoid taking the iron with food, if possible. Finally, the client should take in sufficient fiber and fluids to prevent constipation as a side effect of iron therapy. The client should increase the intake of natural sources of iron, such as meats, fish, and poultry.
Question 5 of 5
The nurse is caring for a client who is 38 weeks pregnant and plans to breastfeed. This is the client's first child, and she expresses concern about lactation. The nurse tells the client that which measures stimulate lactation? Select all that apply.
Correct Answer: A,B,C
Rationale: Breast massage, frequent breastfeeding, and pumping stimulate milk production. Exercise and cold compresses do not.