NCLEX-PN
PN Nclex Questions 2024 Questions
Extract:
Question 1 of 5
While assessing a client who is dying for signs of impending death, what should the nurse observe for?
Correct Answer: B
Rationale: When assessing a client for signs of impending death, the nurse should observe for Cheyne-Stokes respiration. This pattern involves rhythmic waxing and waning of respirations from very deep breathing to very shallow breathing with periods of temporary apnea. It is often associated with cardiac failure and can be a significant indicator of impending death. Elevated blood pressure and pulse rate are not typical signs of impending death; in fact, they may indicate other conditions. A decreased temperature is also not a common sign of impending death, as temperature changes can vary among individuals and may not always correlate with the dying process.
Question 2 of 5
How does the ANA define the psychiatric nursing role?
Correct Answer: A
Rationale: The correct answer aligns with the ANA's definition of the psychiatric nursing role. According to the ANA, psychiatric nursing is a specialized area of nursing practice that incorporates theories of human behavior as its foundational science and utilizes the self as its essential art. This definition emphasizes the importance of understanding human behavior and leveraging therapeutic communication and relationships to provide effective care for individuals with mental health concerns.
Choices B, C, and D are incorrect because they do not accurately represent the ANA-defined role of psychiatric nursing. Psychiatric nurses primarily focus on delivering holistic care, promoting mental health, and supporting individuals with mental health challenges using evidence-based practices and therapeutic interventions.
Question 3 of 5
The physician prescribes captopril (Capoten) 25mg po tid for the client with hypertension. Which of the following adverse reactions can occur with administration of Capoten?
Correct Answer: B
Rationale: A persistent cough might be related to an adverse reaction to captopril (Capoten). Tinnitus (choice
A) and diarrhea (choice
D) are not commonly associated adverse reactions of captopril. Muscle weakness (choice
C) might occur initially but is not considered a common adverse effect of captopril.
Therefore, the correct answer is B, persistent cough, as it is a known adverse reaction to captopril.
Question 4 of 5
The nurse wishes to decrease a client's use of denial and increase the client's expression of feelings. To do this, the nurse should:
Correct Answer: B
Rationale: In the scenario provided, the nurse aims to reduce the client's use of denial and encourage the expression of feelings. Positive reinforcement for each expression of feelings is an effective approach to achieve this goal. By positively reinforcing the client's expression of feelings, the nurse encourages the desired behavior, making it more likely for the client to continue sharing their emotions. This approach creates a supportive and accepting environment for the client. In contrast, telling the client to stop using denial (
Choice
A) may create resistance and inhibit communication by putting pressure on the client. Instructing the client to express feelings (
Choice
C) is less effective as it lacks the element of reinforcement that is essential for behavior modification. Challenging the client each time denial is used (
Choice
D) may lead to defensiveness and hinder the therapeutic relationship, making it a less favorable option.
Question 5 of 5
Following the change of shift report, when can or should the nurse alter or modify the plan?
Correct Answer: C
Rationale: The correct answer is 'when needs change.' The nurse should be flexible and adjust the plan as necessary when the needs of the patients change. This ensures that care is provided effectively and efficiently.
Choices A, B, and D are incorrect because altering the plan based on time intervals, solely at the end of the shift, or after completing top-priority tasks may not align with the current needs of the patients.