NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 871:

  The three major sequential maturational crises for females include __________.

  A. puberty, pregnancy, and menopause

  B. death of a spouse, menopause, and childbirth

  C. rape, divorce, and menarche

  D. dating, engagement, and separation

  Correct Answer: A

  The three major sequential maturational crises affecting females are puberty, pregnancy, and menopause.

  These are life events that have been studied by many researchers and are considered the major events in

  a woman's life.

  Puberty is the onset menarche.

  Pregnancy is a turning point in one's life from which there is no return.

  Menopause is the cessation of menses.

  The nurse has the responsibility to assess, plan, implement appropriate concepts to facilitate effective

  functioning, and enhance growth and development. Choices "death of a spouse, menopause, and

  childbirth.", "rape, divorce, and menarche." and "dating, engagement, and separation." are not sequential

  maturational crises.

• Question 872:

  The three universal spiritual needs include all of the following except __________.

  A. meaning and purpose

  B. love and relatedness

  C. forgiveness

  D. God's permission

  Correct Answer: D

  Religious teachings help to present a meaningful philosophy and system of practices within a system of

  social controls having specific values, norms, and ethics.

  God is the center of many religions (major), but not all.

• Question 873:

  When caring for a Native-American family, which of the following the nurse needs to consider?

  A. The family consists solely of the parents and children.

  B. Native Americans tend to be future oriented.

  C. Some Native Americans use herbs and psychologic treatment of illnesses.

  D. Health care is usually prescribed by a medicine man (shaman).

  Correct Answer: C

  Symbols of health or traditions might include certain ritualistic items that are used to maintain, protect, or restore physical, mental, or spiritual health.

• Question 874:

  The nurse is caring for a dying client who has persistently requested that the nurse "help her to die and be in peace."

  According to the Code of Ethics for Nurses, the nurse should __________.

  A. Ask the client whether she has signed the advance directives document.

  B. Tell the client that he or she will ask another nurse to care for her.

  C. Instruct the client that only a physician can legally assist a suicide.

  D. Try to make the client as comfortable as possible, but refuse to assist in death.

  Correct Answer: D

  Try to make the client as comfortable as possible but refuse to assist in death.

  One of the competencies necessary for nurses to have in giving high quality care to clients/families during

  the end of life care is: apply legal and ethical principles in the analysis of complex issues and end-of-life

  care, recognizing the influence of personal values, profession codes, and client preferences.

• Question 875:

  In the United States, several definitions of death are currently being used.

  The definition that uses apnea testing and pupillary responses to light is termed __________.

  A. whole brain death

  B. heart-lung death

  C. circulatory death

  D. higher brain death

  Correct Answer: A

  Most protocols require two separate clinical examinations, including induction of painful stimuli, papillary

  responses to light, oculovestibular testing, and apnea testing.

  Choices "heart-lung death" and "higher brain death" have no specific test required.

  Choice "circulatory death" is not a current definition of death in the United States.

• Question 876:

  The nurse can best communicate to a client that he or she has been listening by __________.

  A. restating the main feeling or thought the client has expressed

  B. making a judgment about the client's problem

  C. offering a leading question such as, "And then what happened?"

  D. saying, "I understand what you're saying."

  Correct Answer: A

  Restating allows the client to validate the nurse's understanding of what has been communicated. It's an active listening technique. Regarding Choice "making a judgment about the client's problem", judgments should be suspended in a nurse-client relationship. Choice "offering a leading question such as, "And then what happened?" is incorrect because leading questions ask for more information rather than showing understanding. Choice "saying, "I understand what you're saying." communicates understanding, but the client has no way of measuring the understanding.

• Question 877:

  What is the reason for a contract between nurse and client?

  A. Contracts state the roles the participants take.

  B. Contracts are indicative of the feeling tone established between participants.

  C. Contracts are binding and prevent either party from ending the relationship prematurely.

  D. Contracts spell out the participation and responsibilities of both parties.

  Correct Answer: D

  A contract emphasizes that the nurse works with the client, rather than doing something for the client. Working withsuggests that each party is expected to participate and share responsibility for outcomes. Contracts do not,however, stipulate roles or feeling tone, nor is premature termination expressly forbidden.

• Question 878:

  The nurse suspects an elderly client has been the victim of abuse. The client denies abuse and declines assistance.

  The nurse's next action should be to__________.

  A. do nothing; the client has the right to refuse treatment

  B. report the incident to the police

  C. arrange an appointment with the client's next of kin

  D. educate the client about available services

  Correct Answer: D

  Although clients do have the right to refuse treatment, the nurse should remain nonjudgmental and inform

  the client of available services.

  Frequently elders are not aware of existing programs.

• Question 879:

  When questioning an elder about suspected abuse, the nurse should keep the questions __________.

  A. nonjudgmental

  B. probing

  C. confrontational

  D. indirect

  Correct Answer: A

• Question 880:

  The nurse is working with families who have been displaced by a fire in an apartment complex.

  What is the priority intervention during the initial assessment?

  A. Provide a liaison to meet housing needs.

  B. Attentively listen when clients describe their feelings.

  C. Offer nurturing support for clients who are confused by the events.

  D. Provide structure for clients exhibiting moderate to severe anxiety.

  Correct Answer: A

  After physical needs of housing, clothing and food are met, the nurse should focus on assisting clients to manage the psychological effects of loss.