NCLEX-PN
2024 Nclex Questions Questions
Extract:
Question 1 of 5
The nurse suspects an elderly client has been the victim of abuse. The client denies abuse and declines assistance. The nurse's next action should be to:
Correct Answer: D
Rationale: In cases where elderly clients deny abuse and refuse assistance, it is crucial for the nurse to respect their autonomy while also ensuring their safety. Educating the client about available services is the appropriate action as it empowers the client with information without imposing any decisions on them. It allows the client to make informed choices regarding their well-being. Reporting the incident to the authorities (
Choice
B) may be necessary if there is immediate danger, but in this scenario, the client denies abuse. Arranging an appointment with the client's family (
Choice
C) may not be appropriate without the client's consent or in cases where the family might be involved in the abuse. Simply doing nothing (
Choice
A) is not the best course of action as the nurse should still provide support and resources to the client.
Question 2 of 5
When medications have an additive, synergistic, or antagonistic effect on a tissue, a ________ reaction has occurred.
Correct Answer: B
Rationale: The correct answer is 'pharmacodynamic.' Pharmacodynamics pertain to the effect of a drug on receptors, explaining how drugs affect tissues. Pharmaceutical reactions refer to chemical reactions between drugs before administration or absorption, not their effect on tissues. Pharmacokinetic reactions involve how the body affects the drug, not the tissue. Drug incompatibilities are essentially pharmaceutical reactions, not the specific effects on tissues seen in pharmacodynamic reactions.
Question 3 of 5
Which information obtained from the mother of a child with cerebral palsy most likely correlates to the diagnosis?
Correct Answer: B
Rationale: The diagnosis of meningitis at age 6 months correlates to a diagnosis of cerebral palsy. Cerebral palsy, a neurological disorder, is often associated with birth trauma or infections of the brain or spinal column. Answers A, C, and D are not related to the question. Gestational length (choice
A) is not a direct risk factor for cerebral palsy. Physiologic jaundice (choice
C) and frequent sore throats (choice
D) are not typically associated with cerebral palsy.
Question 4 of 5
What is the purpose of a contract between a nurse and a client?
Correct Answer: A
Rationale: The purpose of a contract between a nurse and a client is to specify the participation and responsibilities of both parties. It outlines the expectations, contributions, and duties of each party involved in the professional relationship. This ensures clarity and mutual understanding.
Choice B is incorrect as contracts do not indicate feeling tone but rather focus on the professional aspects.
Choice C is incorrect because while contracts are legally binding, their primary purpose is not to prevent premature termination but to establish guidelines.
Choice D is incorrect as contracts focus more on responsibilities and participation rather than specific roles.
Question 5 of 5
When supporting a family who has just experienced a sudden and unexpected death, the nurse needs to know:
Correct Answer: A
Rationale: The correct answer is that survivors have greater emotional turmoil and shock than when death is expected. Sudden death produces more emotional turmoil and shock in survivors compared to gradual, expected death. Survivors of sudden death do not have the opportunity to engage in anticipatory grief. The unexpectedness of sudden death is the most disturbing and unbalancing factor, leading to heightened emotional turmoil and shock.
Choice B is incorrect as survivors of sudden death experience more emotional turmoil and shock.
Choice C is incorrect because sudden death brings about a different level of emotional turmoil and shock.
Choice D is incorrect as survivors of sudden and unexpected death still go through significant emotional distress.