NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 411:

  Pain tolerance in an elderly client with cancer should __________.

  A. Stay the same

  B. Decrease

  C. Increase

  D. Cancer should have no effect on pain tolerance for an elderly client

  Correct Answer: B

  There is potential for a lowered pain tolerance to exist with diminished adaptive capacity.

• Question 412:

  As part of the teaching plan for a client with type I diabetes mellitus, the nurse should include that carbohydrate needs might increase when __________.

  A. an infection is present

  B. there is an emotional upset

  C. a large meal is eaten

  D. active exercise is performed

  Correct Answer: D

  Active exercise increases insulin sensitivity, thus lowering blood glucose levels. Additional carbohydrates

  might be needed to balance the usual insulin dose.

  All of the other choices increase blood glucose levels.

• Question 413:

  Which type of diet should the nurse provide to help a client who has major burns maintain a positive nitrogen balance?

  A. high protein

  B. high carbohydrate

  C. low carbohydrate

  D. low protein

  Correct Answer: A

  Clients with burns are hypermetabolic and require increased protein levels to maintain a positive nitrogen

  balance.

  High carbohydrate and low carbohydrate are incorrect choices; carbohydrate levels do not help clients to

  meet this goal.

  Low protein is incorrect choice; a client with major burns requires a high-protein diet.

• Question 414:

  Which is an appropriate outcome for the nursing diagnosis of Body Image Disturbance for a client with anorexia nervosa?

  A. The client verbalizes knowledge of a maintenance diet.

  B. The client demonstrates assertiveness with family.

  C. The client verbalizes her body size accurately.

  D. The client demonstrates control of obsessive behaviors.

  Correct Answer: C

  Part of the problem for anorexic clients is an altered view of their body appearance (visualizing themselves

  as fat even when they are emaciated).

  Choice "The client verbalizes knowledge of a maintenance diet." involves a knowledge deficit.

  Choice "The client demonstrates assertiveness with family." involves possible resolution of family-dynamic

  issues.

  Choice "The client demonstrates assertiveness with family." involves psychological adaptation.

• Question 415:

  The nurse is using Cognitive-Behavioral methods of pain control and knows that these methods can be expected to do all the following except __________.

  A. completely relieve all pain

  B. provide benefit by restoring the client's sense of self-control

  C. help the client to control symptoms

  D. help the client actively participate in his or her own care

  Correct Answer: A

  These interventions (strategies) help the client in all areas of client well-being.

  Focusing on perception and thought, cognitive techniques are designed to influence how one interprets

  events and bodily sensations.

• Question 416:

  Nonpharmacological pain management involves all of the following except __________.

  A. hypnosis alone.

  B. psychological care, including support groups.

  C. physical and psychological modalities.

  D. pain-reducing drugs only.

  Correct Answer: D

  All physical and psychosocial therapies can be used concurrently with drugs and other modalities to

  manage pain.

  These interventions can be carried out by the nurse with the client and family.

• Question 417:

  Client room environments should include __________.

  A. a made bed, fresh water, thermostat regulation, and clean floors in all occupied client areas

  B. a made bed, comfort and safety, a clutter-free area, hygiene articles nearby

  C. accident prevention, comfort, a room (including furniture) that has been cleaned with chloroseptic wash, a bed that is made every other day

  D. odor control (by spraying the room with deodorizers), closet storage of all client objects, a clean room. (Gloves should be worn when cleaning.)

  Correct Answer: B

  Preparing a client's room environment should include making the client's bed, ensuring comfort and safety at all times, keeping the area free of clutter, and keeping the client's hygiene articles nearby. All procedures should be explained before they are performed, and the client should assist with personal arrangement of articles.

• Question 418:

  For a client requiring total oral care, it is important for the nurse to __________.

  A. assemble all equipment, assist the client to semi-Fowler's position, and place a towel on his chest

  B. place client in Fowler's position, prepare the equipment, and tell the client what to do

  C. assemble all equipment, place the client in a side-lying position, and place a towel under his chin

  D. use gloves and clean the client's mouth, including the tongue

  Correct Answer: C

  Assemble all equipment first; place the client in a side-lying position so that fluid can easily flow out or pool in the side of the mouth for suctioning (to prevent aspiration); and then place a towel under the client's chin and a curved basin against the chin. Gloves should be worn.

• Question 419:

  Nail and foot care are essential in meeting basic hygiene needs of clients.

  Important assessments by the nurse in this area include __________.

  A. all body assessment, including the feet and nails

  B. the essential lab work of the client

  C. the nail beds and the tissue surrounding the nails

  D. foot corns and calluses only

  Correct Answer: C

  The nail beds and the tissue surrounding the nails should be assessed for abnormal discoloration, lesions, paronychia (infection of tissue surrounding the nail), tissue dryness, breaks in the skin, pressure areas, or other abnormal appearances.

• Question 420:

  Physical examination of a client regarding mobility status should __________.

  A. begin with gait

  B. be oriented to time, place, and person

  C. begin with the Romberg test

  D. begin with the Tandem Walk test

  Correct Answer: A

  Gait is usually assessed as the client walks into the room.

  Normal gait is smooth, flowing, and rhythmic without assistive devices.