NCLEX-PN
Nclex Exam Cram Practice Questions Questions
Extract:
Question 1 of 5
While undergoing fetal heart monitoring, a pregnant Native-American woman requests that a medicine woman be present in the examination room. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: The correct response is to show cultural awareness and acceptance by offering to assist in arranging for the medicine woman to be present. This demonstrates respect for the client's beliefs and preferences.
Choice B is inappropriate as it dismisses the client's request without considering its cultural significance.
Choice C is dismissive and does not acknowledge the client's values.
Choice D is disrespectful and judgmental, undermining the client's beliefs.
Therefore, the only appropriate and professional response is to support the client's request and offer assistance in accommodating it.
Question 2 of 5
A client who has undergone a total hip replacement is told that she will need to go to an extended care rehabilitation facility for therapy before going home. Which member of the healthcare team should the nurse ask to plan the discharge and transition from the hospital to the rehabilitation facility?
Correct Answer: D
Rationale: In this scenario, the appropriate member of the healthcare team to plan the discharge and transition from the hospital to the rehabilitation facility is the social worker. Social workers are trained to provide counseling services, emotional support, arrange placements in care facilities, and locate financial resources for clients. While clergy provide spiritual support and guidance, physical therapists assist in physical treatments, and occupational therapists help with activities of daily living, the social worker is best suited to address the client's needs related to discharge planning and transition.
Therefore, the correct answer is the social worker.
Question 3 of 5
When assessing a client's risk for elimination impairment, which of the following factors is least relevant?
Correct Answer: C
Rationale: When assessing a client's risk for elimination impairment, family history is the least relevant factor to consider. Current medications can affect elimination functions through side effects, ambulation abilities can impact mobility to access toileting facilities, and hydration status directly influences urinary output and bowel function. Family history, although providing some context, does not have a direct impact on the client's current risk of elimination impairment.
Question 4 of 5
How many feet should separate the nurse and the source when extinguishing a small, wastebasket fire with an appropriate extinguisher?
Correct Answer: D
Rationale: The nurse should stand about 6 feet from the source of the fire. Getting closer might put the nurse in danger.
Choice A, 1 foot, is incorrect because it is too close to the fire and can expose the nurse to unnecessary risk.
Choice B, 2 feet, is also too close to the fire and may lead to potential harm. Similarly, choice C, 4 feet, is not the ideal distance as it is still within the range of potential danger. The correct answer is D, 6 feet, which is a safe distance for the nurse to extinguish the fire effectively without risking personal safety.
Question 5 of 5
Which of the following is an appropriate nursing goal for a client at risk for nutritional problems?
Correct Answer: B
Rationale: The correct answer is to promote healthy nutritional practices. This goal focuses on preventive measures to address the client's nutritional risk. Providing oxygen (
Choice
A) is not directly related to addressing nutritional problems. Treating complications of malnutrition (
Choice
C) involves addressing the consequences rather than preventing or managing the nutritional problems. Increasing weight (
Choice
D) would only be appropriate if the client is underweight; it does not address the broader aspect of promoting overall healthy nutritional practices.