NCLEX-PN
2024 Nclex Questions Questions
Extract:
Question 1 of 5
When questioning an elder about suspected abuse, how should the nurse keep the questions?
Correct Answer: A
Rationale: When questioning an elder about suspected abuse, the nurse should keep the questions nonjudgmental. This approach helps the elder feel safe and more willing to share information. Probing questions might be perceived as invasive, confrontational questions can lead to defensiveness and denial, and indirect questions may not elicit the necessary information, resulting in confusion or misinterpretation.
Question 2 of 5
When a woman is having her first child, she is experiencing which type of crisis event?
Correct Answer: B
Rationale: A maturational crisis occurs when an individual reaches a new stage of development, such as becoming a parent for the first time, and needs to develop new coping strategies to adapt to this change. Situational crises (
Choice
A) arise from external sources, not developmental milestones. Adventitious crises (
Choice
C) are caused by external events like natural disasters and are not related to personal development stages. Reactive crises (
Choice
D) are responses to specific stressors and are not associated with developmental milestones like becoming a parent for the first time.
Question 3 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 4 of 5
While walking in the hallway of an acute care unit of the hospital, the nurse overhears the change of shift report. What should the nurse do?
Correct Answer: A
Rationale:
To protect the confidentiality of the information being reported, the nurse should make the charge nurse on the unit aware of the situation. This allows the charge nurse to take necessary steps to maintain confidentiality and ensure that the information is communicated in an appropriate and private manner. Disclosing the situation to the charge nurse is essential to address any breaches in confidentiality and uphold professional standards of privacy and ethics. Disregarding the information, returning to their own unit without disclosure, or ignoring the situation altogether would not address the breach of confidentiality and could lead to further issues regarding patient privacy and trust.
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.