NCLEX-PN
Nclex Questions Management of Care Questions
Extract:
Question 1 of 5
Which of the following statements by a client with gastroesophageal reflux disease (GERD) indicates adequate understanding?
Correct Answer: C
Rationale: The correct statement for a client with GERD is, 'I should sit up after eating.' This helps prevent reflux by keeping the stomach contents down.
Choice A is incorrect as eating right before bedtime can exacerbate GERD symptoms by increasing the likelihood of reflux during the night.
Choice B is incorrect because consuming large meals can lead to increased stomach pressure and worsen reflux symptoms.
Choice D is incorrect because lying flat after eating can promote reflux due to gravity assisting the flow of stomach contents into the esophagus, worsening GERD.
Question 2 of 5
A neighbor telephones the nurse to tell her that her child has erythema infectiosum and asks for information. The nurse knows that another name for the disorder is:
Correct Answer: D
Rationale: The correct answer is 'fifth disease.' Erythema infectiosum, also known as fifth disease, is a parvovirus flu-like illness that is self-limiting but contagious for two to three weeks.
Choice A, Kawasaki disease, is a different condition that involves inflammation of the blood vessels, predominantly affecting children.
Choices B and C, rheumatic disease and lupus erythematosus, are also different conditions unrelated to erythema infectiosum.
Question 3 of 5
A nurse provides instructions to a mother about crib safety for her infant. Which statement by the mother indicates a need for further instructions?
Correct Answer: C
Rationale: The correct answer is, ''The distance between the slats needs to be no more than 4 inches wide to prevent entrapment of my infant's head or body.'' This statement indicates a need for further instructions as the distance between the slats should be no more than 2⅜ inches to prevent entrapment of the infant's head and body, not 4 inches. Allowing a larger gap can pose a risk of entrapment or injury to the infant. Keeping large toys out of the crib is essential to prevent the infant from using them to climb out, which could result in serious injuries. Ensuring the drop side of the crib is impossible for the infant to release is crucial to prevent falls and injuries. Additionally, maintaining wood surfaces on the crib free of splinters, cracks, and lead-based paint is vital for the infant's safety and well-being.
Question 4 of 5
After securing the client's safety from a faulty electric bed, what should the nurse do next?
Correct Answer: D
Rationale: After ensuring the client's safety from the faulty electric bed, the nurse should prioritize preparing an incident report. This report documents the details of what happened and is crucial for quality improvement and risk management.
Choice A, discussing the matter with the client's significant others, may be important in some cases but is not the immediate priority after a safety incident.
Choice B, documenting the incident in the client's record, is necessary but should be preceded by preparing an incident report.
Choice C, notifying the physician, is important but not as urgent as preparing the incident report to ensure timely reporting and investigation of the safety issue.
Question 5 of 5
Pulling is easier than pushing. So pulling a client rather than pushing them has which of the following advantages?
Correct Answer: A
Rationale: When pulling a client, you work with the gravitational force instead of opposing it, which reduces the workload on your muscles. Choosing to pull a client minimizes the effort required compared to pushing.
Choice B is incorrect because the force of gravity remains constant regardless of pushing or pulling.
Choice C is irrelevant as stability is not directly related to the advantage of pulling over pushing.
Choice D is inaccurate because pulling can still strain muscles if not executed correctly, but it generally reduces the overall workload in comparison to pushing.