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NCLEX-PN PDF DEMO:
QUESTION NO: 1
Distraction therapy is:
A. focusing one's attention on stimuli other than pain.
B. cognitive reappraisal.
C. the replacement of positive images of pain with other images.
D. the use of medication and meditation.
Answer: A
Explanation:
The focus of distraction therapy is on positive stimuli rather than negative input.Basic Care and
Comfort
QUESTION NO: 2
After 12 months of cessation of menses, which of the following assessment findings in a client who is taking hormone replacement therapy should the nurse report to the physician immediately?
A. breast tenderness
B. weight gain
C. fluid retention
D. uterine bleeding
Answer: D
Explanation:
Uterine bleeding on combination hormone replacement therapy, after 12 months of menses cessation, indicates an increased risk of carcinoma and should be reported to the physician immediately. Breast tenderness, weight gain, and fluid retention are all routine side effects ofhormone replacement therapy. They should be noted in the record and reported to the physician, but they are not urgent.Health Promotion and Maintenance
QUESTION NO: 3
In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:
A. diabetic signs and symptoms.
B. nutritional status.
C. bleeding problems.
D. availability of insulin.
Answer: C
Explanation:
Bleeding problems are not characteristic of diabetes. All the other options are appropriate areas of assessment.
Safety and Infection Control
QUESTION NO: 4
While walking in the hallway of an acute care unit of the hospital, the nurse overhears the change of shift report. The nurse should:
A. make the charge nurse on the unit aware of the situation so that he or she can take the necessary steps to maintain the confidentiality of the information being reported.
B. disregard the information because it changes quickly on the acute care unit and is outdated within
2-3 hours anyway.
C. return to his or her own unit and not disclose that confidential information has been overheard.
D. ignore the situation.
Answer: A
Explanation:
To protect the confidentiality of the information being reported, the nurse should make the charge nurse on the unit aware of the situation so that the information can be communicated in an appropriate way in privacy.
Coordinated Care
QUESTION NO: 5
A client with jaundice has which skin color?
A. pale
B. ruddy
C. yellow
D. pink
Answer: C
Explanation:
Jaundice turns the skin yellow. The other skin colors are not symptoms of jaundice.
Physiological Adaptation
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Updated: May 27, 2022