NCLEX-PN
Physiological Adaptation NCLEX Questions Questions
Extract:
Question 1 of 5
Which intervention should the nurse take first to assist a woman who states that she feels incompetent as the mother of a teenage daughter?
Correct Answer: C
Rationale: The intervention priority with a mother who feels incompetent to parent a teenage daughter is to assist the mother to identify what she feels her crisis events are and to help her develop better coping skills and improve her mothering skills. With a teenager, the growth and development parameters have to be concentrated on self as well as acquiring an added event.
Choices 1, 2, and 4 do not directly address the mother's feelings of inadequacy.
Question 2 of 5
A client is 36 hours post-op a TKR surgery, 270 cc's of sero-sanguinous accumulates in the surgical drains. What action should the nurse take?
Correct Answer: A
Rationale: The physician should be notified if excessive drainage is noted from the surgical site.
Question 3 of 5
When questioning an elder about suspected abuse, the nurse should keep the questions:
Correct Answer: A
Rationale: Questions about suspected abuse should be direct and nonconfrontational. Indirect questions encourage denial.
Question 4 of 5
A mother of a newborn notices a nurse placing liquid in her baby's eyes. Which of the following is an inaccurate statement about the need for eyedrops following birth?
Correct Answer: D
Rationale: Laws do require placement of eyedrops; however, physicians indicate a timeframe, and it is not required every 6 hours following birth.
Question 5 of 5
Milieu therapy is best employed to perform which activity?
Correct Answer: D
Rationale: Milieu therapy provides repetitive ordinary experiences to minimize change, reduce disruptive behavior, and promote stability.