NCLEX-PN
Nclex Questions Management of Care Questions
Extract:
Question 1 of 5
When working with elderly clients, the healthcare provider should keep in mind that falls are most likely to happen to the elderly who are:
Correct Answer: C
Rationale: The correct answer is 'hospitalized.' Elderly individuals are at a higher risk of falls, especially when they are in new environments like hospitals due to unfamiliarity with the surroundings, medications, and potential mobility challenges. Being in a hospital can disrupt their usual routines and increase the risk of falls.
Choice A ('in their 80s') is not as directly related to the increased risk of falls in a hospital environment.
Choice B ('living at home') is a common setting for the elderly but does not address the specific risk associated with being hospitalized.
Choice D ('living on only Social Security income') is unrelated to the risk of falls based on the environment.
Question 2 of 5
The nurse is educating a teenage female about preventing the transmission of genital herpes. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: Genital herpes can be transmitted through oral, genital, and anal sex. It is crucial to educate the patient that the infection can be transmitted via intercourse even when asymptomatic to prevent its spread.
Choice A is incorrect as sitting on toilet seats without protection does not transmit genital herpes.
Choice B is incorrect because oral sex can transmit the virus.
Choice D is also incorrect as drinking fluids after sex does not prevent the transmission of genital herpes.
Question 3 of 5
A 20-year-old male client had a diving accident with subsequent paraplegia. He says to the nurse, "No woman will ever want to marry me now."? Which of the following responses by the nurse is most therapeutic?
Correct Answer: D
Rationale: The correct response is 'Tell me more about your feelings on this issue.' This answer is the most therapeutic as it encourages the client to express his emotions and concerns, fostering a supportive and open dialogue between the client and the nurse. Option A may come across as dismissive and does not directly address the client's emotional state. Option B, while positive, oversimplifies the client's complex feelings. Option C focuses only on physical appearance, missing the opportunity to delve deeper into the client's emotional well-being.
Therefore, the most therapeutic response is to encourage further discussion about the client's feelings.
Question 4 of 5
While caring for the following clients, a pediatric nurse tells the charge nurse she must leave due to a family emergency. Which client would the charge nurse reassign to an LPN?
Correct Answer: D
Rationale: The correct answer is a five-year-old in skeletal traction. This task is within the scope of practice for an LPN and would need minimal assistance from an RN. The children with diabetic ketoacidosis, sickle cell crisis, and dehydration require close observation, good assessment skills, IVF needs, and medications that would be better managed by an RN. Reassigning the child in skeletal traction to an LPN ensures appropriate care while allowing the RN to focus on the more critical cases.
Question 5 of 5
The method of splinting is always dictated by:
Correct Answer: B
Rationale: The correct answer is 'the severity of the client's condition and the priority decision.' When determining the method of splinting, it is crucial to consider the severity of the client's condition and make decisions based on their priority.
Choice A is incorrect because while the location of the injury and whether it is open or closed are important factors, they do not always dictate the method of splinting.
Choice C is incorrect as the number of available rescuers and the type of splints may impact the execution of splinting but do not solely dictate the method.
Choice D is incorrect as it suggests that all the factors mentioned dictate the method, but in reality, the severity of the client's condition and the priority decision are the primary factors.