NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 451:

  The method of splinting is always dictated by ___________.

  A. location of the injury and whether it is open or closed

  B. the severity of the client's condition and the priority decision

  C. the number of available rescuers and the type of splints

  D. all of the above

  Correct Answer: B

  The method of splinting is always dictated by the severity of the client's condition and the priority decision.

• Question 452:

  To ensure proper immobilization and increase client comfort when using a rigid splint ___________.

  A. place the client on a stretcher before splinting

  B. place the client on a long spine board before splinting

  C. pad the spaces between the body part and the splint

  D. ensure that the splint conforms to the body curves

  Correct Answer: C

  To ensure proper immobilization and increase client comfort when using a rigid splint, pad the spaces between the body part and the splint.

• Question 453:

  The 24-hour day-night cycle is known as __________.

  A. circadian rhythm

  B. infradium rhythm

  C. ultradian rhythm

  D. non-REM rhythm

  Correct Answer: A

  Circadian rhythm is rhythmic repetition of patterns each 24 hours. The other options are incorrect.

• Question 454:

  A 4-year-old client is unable to go to sleep at night in the hospital.

  Which nursing intervention best promotes sleep for the child?

  A. turning out the room light and closing the door

  B. tiring the child during the evening with play exercises

  C. identifying the child's home bedtime rituals and following them

  D. encouraging visitation by friends during the evening

  Correct Answer: C

  Preschool-age children require bedtime rituals that should be followed in the hospital if possible.

  Turning out the room light and closing the door increases a child's fear.

  Tiring the child during the evening with play exercises and encouraging visitation by friends during the

  evening do not promote sleep.

• Question 455:

  Ms. Petty is having difficulty falling asleep.

  Which of the following measures promote sleep?

  A. exercising vigorously for 20 minutes each night beginning at 9:30 p.m.

  B. taking a cool shower and drinking a hot cup of tea

  C. watching TV nightly until midnight

  D. getting a back rub and drinking a glass of warm milk

  Correct Answer: D

  These are appropriate measure to promote sleep.

  Exercising vigorously for 20 minutes each night beginning at 9:30 p.m., taking a cool shower and drinking

  a hot cup of tea, watching TV nightly until midnight are all stimulation actions that increase arousal and

  wakefulness.

• Question 456:

  Major competencies for the nurse giving end-of-life care include __________.

  A. demonstrating respect and compassion, and applying knowledge and skills in care of the family and the client.

  B. assessing and intervening to support total management of the family and client.

  C. setting goals, expectations, and dynamic changes to care for the client.

  D. keeping all sad news away from the family and client.

  Correct Answer: A

  There are many competencies that the nurse must have to care for families and clients at the end of life. Demonstration of respect and compassion as well as using knowledge and skills in the care of the client and family are major competencies.

• Question 457:

  The goals of palliative care include all of the following except __________.

  A. giving clients with life-threatening illnesses the best quality of life possible

  B. taking care of the whole person ?body, mind, spirit, heart, and soul

  C. no interventions are needed because the client is near death

  D. support of needs of the family and client

  Correct Answer: C

  The goals of palliative care include choices "giving clients with life-threatening illnesses the best quality of life possible", "taking care of the whole person ?body, mind, spirit, heart, and soul" and "support of needs of the family and client". "No interventions are needed because the client is near death" is not part of palliative care. All aspects of medical, emotional, social, and spiritual needs of the dying client should be focused on until the end of life.

• Question 458:

  Nurses caring for clients who have cancer and are taking opioids need to assess for all of the following except __________.

  A. tolerance

  B. constipation

  C. sedation

  D. addiction

  Correct Answer: D

  Addiction is not of primary concern when treating the pain of terminally ill clients.

  Clients with cancer who are taking opioid analgesics can develop tolerance, constipation, and sedation.

• Question 459:

  Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophgeal reflux disease (GERD)?

  A. lettuce

  B. eggs

  C. chocolate

  D. butterscotch

  Correct Answer: C

  Ingestion of chocolate can reduce lower esophageal sphincter (LES) pressure leading to reflux and clinical

  symptoms of GERD.

  The other foods do not affect LES pressure.

• Question 460:

  The nurse explains to a client who underwent gastric resection that __________ meals is most likely to cause rapid emptying of the stomach.

  A. a high-protein meal

  B. a high-fat meal

  C. a large meal regardless of nutrient content

  D. a high-carbohydrate meal

  Correct Answer: D

  Meals that are high in carbohydrates promote rapid gastric emptying.

  The other options are associated with decreased emptying time.