NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 991:

  Rehabilitation services begin __________.

  A. when the client enters the health care system

  B. after the client requests rehabilitation services

  C. after the client's physical condition stabilizes

  D. when the client is discharged from the hospital

  Correct Answer: A

  Rehabilitation services should begin when the client enters the health care system.

• Question 992:

  Health promotion activities are designed to help clients __________.

  A. reduce the risk of illness

  B. maintain maximal function

  C. promote healthy habits related to health care

  D. all of the above

  Correct Answer: D

  Health promotion activities are designed to help clients reduce the risk of illness, maintain maximum function, and promote health habits related to health care.

• Question 993:

  What is the primary theory that explains a family's concept of health and illness?

  A. Health Belief Model

  B. Education-School-Completing Factor

  C. Family Health Expert Factor

  D. Disconnected Family Factor

  Correct Answer: A

  The Health Belief Model describes readiness factors; the perceived feelings of susceptibility and seriousness of the health problem (the threat); and positive motivation to maintain, regain, or attain wellness.

• Question 994:

  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?

  A. Provide her with copies of the approved dietary guidelines for the American Diabetic Association and the American Heart Association.

  B. Ask the client to provide a list of the types of foods she eats to determine how to best meet her needs.

  C. Provide a high-protein diet plan for the client.

  D. Provide the client with information related to risk factors for heart disease and diabetes.

  Correct Answer: B

  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 995:

  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?

  A. Sleep at least 6-8 hours a night

  B. Practice monthly self-breast examination

  C. Reduce stress

  D. All of the above

  Correct Answer: D

  All of the choices are methods of preventing cancer.

  Sleep is important in maintaining homeostasis, which helps the body respond to disease.

  Monthly breast examination can indicate cancer or fibrocystic disease.

  The body has a physiological response to stress that can decrease the immune response and increase the

  risk of disease.

• Question 996:

  All of the following factors, when identified in the history of a family, are correlated with poverty except __________.

  A. high infant mortality rate

  B. frequent use of Emergency Departments

  C. consultation with folk healers

  D. low incidence of dental problems

  Correct Answer: D

  Dental problems are prevalent because of the lack of preventive care and access to care.

  High infant mortality is one of the most significant problems correlated with poverty. Pregnant women who

  do not have access to care might come to the Emergency Department when in labor.

  Those in poverty are likely to use Emergency Departments because they may not be turned away.

  Those in poverty might also turn to folk healers or other persons in their community for care who might be

  easier to access and might not demand payment.

• Question 997:

  Which of the following nursing actions is most effective when evaluating a kinetic family drawing?

  A. telling the child to draw their family doing something

  B. offering specific suggestions of what to include in the drawing

  C. discouraging the child from talking about the drawing

  D. noting the omission of any family members

  Correct Answer: D

  There are several guidelines for evaluating kinetic family drawings, including Choice "noting the omission of any family members". Effective nursing actions include asking the child to explain what each family member is doing, encouraging him or her to tell as much as possible about the drawing, noting physical intimacy or distance, noting placement of family members in the drawing, noting facial expressions of family members and noting if they are facing each other or turned away. Choice "telling the child to draw their family doing something" is initial instruction, not evaluation. Only general encouragement should be given to avoid suggesting themes to the child.

• Question 998:

  Which of the following is the primary force in sex education in a child's life?

  A. school nurse

  B. peers

  C. parents

  D. media

  Correct Answer: C

  Parents are the primary force in sex education in a child's life.

  The school nurse is involved with formal sex education and counseling.

  Peers become more important in sex education during adolescence but might lack correct information.

  The media play a powerful role in what children learn about sex through movies, TV, and video games.

• Question 999:

  Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?

  A. intrauterine device (IUD)

  B. Norplant

  C. oral contraceptives

  D. vaginal sponge

  Correct Answer: D

  The vaginal sponge is a barrier method of contraception that, when used with foam or jelly contraception, reduces the transmission of HIV and other STDs as well as reducing the risk of pregnancy. IUDs, Norplant, and oral contraceptives can prevent pregnancy but not the transmission HIV and STDs. Clients using the contraceptive IUD, Norplant and Oral contraceptives should be counseled to use a chemical or barrier contraceptive to decrease transmission of HIV or STDs.

• Question 1000:

  Which of the following statements is correct about Maslow's hierarchy of needs?

  A. Four of the levels may require physical intervention, while two of the levels may require psychosocial intervention.

  B. There are psychosocial interventions that may be applicable to all of the levels.

  C. There are physical interventions that may be applicable to all of the levels.

  D. Two of the levels may require physical intervention while four of the levels may require psychosocial intervention.

  Correct Answer: D