NCLEX-PN
PN Nclex Questions 2024 Questions
Extract:
Question 1 of 5
Using clichés in therapeutic communication leads the client to:
Correct Answer: D
Rationale: The use of clichés in therapeutic communication is commonly construed by the client as the nurse's lack of understanding, involvement, and caring, which can lead the client to feel demeaned and discounted.
Choice A is incorrect because clichés do not make the client view the nurse as less understanding but rather as lacking depth in communication.
Choice B is incorrect as clichés do not directly lead the client to accepting themselves as human.
Choice C is incorrect because clichés usually hinder self-disclosure rather than encourage it.
Question 2 of 5
A client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for:
Correct Answer: C
Rationale: The correct answer is Buck's traction. This intervention is used to realign the fractured femur, reduce spasms, and alleviate pain. Placing the client in the Trendelenburg position is inappropriate for a femur fracture, making answer A incorrect. While ice may be used post-repair, applying it to the entire extremity is unnecessary, so answer B is wrong. An abduction pillow is typically employed following a total hip replacement, not for a fractured femur, rendering answer D incorrect.
Question 3 of 5
The nurse is caring for a client with laryngeal cancer. Which finding ascertained in the health history would not be common for this diagnosis?
Correct Answer: C
Rationale: Diarrhea is not a common finding in clients with laryngeal cancer. Foul breath (
A), dysphagia (
B), and chronic hiccups (
D) are expected findings associated with laryngeal cancer. Foul breath can result from tissue breakdown in the mouth and throat. Dysphagia, or difficulty swallowing, can occur due to the tumor's location affecting the swallowing mechanism. Chronic hiccups can be a symptom of irritation to the phrenic nerves from the cancer.
Question 4 of 5
In a brief treatment program for a client who was raped, what is a realistic short-term goal?
Correct Answer: D
Rationale: In this scenario, a realistic short-term goal for the client who was raped and starting a brief treatment program is to verbalize feelings about the event. This goal promotes the expression of emotions, which is crucial in the healing process. Identifying all psychosocial problems is too broad and not typically achievable in a brief treatment program. Eliminating the client's enticing behaviors is not a suitable short-term goal as the focus should be on emotional recovery. While resolving feelings of trauma and fear is important, verbalizing feelings about the event is a more specific and achievable goal in the short term.
Question 5 of 5
The nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?
Correct Answer: A
Rationale: The pregnant nurse should not be assigned to any client with radioactivity present. The client receiving linear accelerator therapy is the correct choice because the radiation stays in the department, and the client is not radioactive.
Choices B, C, and D involve clients who are radioactive or pose a risk due to radioactivity. The client with a radium implant for cervical cancer (choice
B) is radioactive, the client who has just been administered soluble brachytherapy for thyroid cancer (choice
C) is radioactive for approximately 72 hours, and the client who returned from placement of iridium seeds for prostate cancer (choice
D) is also radioactive, especially right after the procedure. These options are not suitable for assignment to the pregnant nurse.