NCLEX-PN
NCLEX PN Coordinated Care Questions Questions
Extract:
Question 1 of 5
Which is the best way to position a client's neck for palpation of the thyroid?
Correct Answer: A
Rationale: Flexing the neck toward the side being examined relaxes the sternocleidomastoid muscle, making the thyroid gland more accessible for palpation.
Question 2 of 5
An LPN is talking with a client scheduled to undergo a vasectomy in the next few minutes. He states, 'I know I signed the form and all, but I'm not feeling so sure of this. It can be reversed pretty easily, right?' What is the LPN's best response?
Correct Answer: C
Rationale: This is the only option that validates the client's concerns and also respects his right to informed consent.
Question 3 of 5
A 35-year-old Latin-American client wishes to lose weight to reduce her chances of developing heart disease and diabetes. The client states, 'I do not know how to make my diet work with the kind of foods that my family eats.' What should the nurse do first to help the client determine a suitable diet for disease prevention?
Correct Answer: B
Rationale: Assessment is the first step. Assessing what the client eats helps the nurse determine a plan for dietary recommendations based on the ADA and AHA guidelines. Providing the client with a copy of the guidelines is important but is not the first priority. Based on the client's wish to reduce her chances of heart disease and diabetes, a high-protein diet plan might not be appropriate. Providing information to the client related to risk factors for heart disease and diabetes is important but is not the first step.
Question 4 of 5
Which of the following factors can impact an individual's ability to give informed consent?
Correct Answer: C
Rationale: Pain medications might alter alertness, thought processes, and reactions. It is recommended that a client be approached for consent at least 4 hours after the last dose of pain medicine to allow minimal impact. IQ and educational levels might have a bearing on how information is presented through the discussion process, but they do not have a bearing on informed-consent decision-making.
Question 5 of 5
A client states, 'I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?' The nurse should respond with which of the following statements?
Correct Answer: D
Rationale: All listed actions contribute to cancer prevention: adequate sleep supports immune function, self-breast exams aid early detection, and stress reduction enhances overall health. These complement the client's existing healthy habits.