NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 911:

  The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility.

  Which of the following questions should the nurse ask this client?

  A. "How did you get those bruises?"

  B. "Did someone grab you by your arms?"

  C. "Do you fall often?"

  D. "What did you bump against?"

  Correct Answer: B

  Using a direct approach is best when asking about suspected abuse. Clients are reluctant to report abuse because of shame and fear of reprisal.

• Question 912:

  An elderly client denies that abuse is occurring.

  Which of the following factors could be a barrier for the client to admit being a victim?

  A. knowledge that elder abuse is rare

  B. personal belief that abuse is deserved

  C. lack of developmentally appropriate screening tools

  D. fear of reprisal or further violence if the incident is reported

  Correct Answer: D

  Barriers to reporting elder abuse include victim shame, fear of reprisals, fear of loss of caregiver, and lack

  of knowledge of agencies that provide services. Many elders fear that reporting abuse results in their

  placement in long-term care because the current caregiver is the abuser.

  Choices "knowledge that elder abuse is rare" and "lack of developmentally appropriate screening tools"

  are incorrect.

  Choice "personal belief that abuse is deserved" might be true but is not the best choice.

• Question 913:

  A 57-year-old woman is recently widowed. She states, "I will never be able to learn how to manage the finances. My husband did all of that."

  Select the nurse's response that could help raise the client's self-esteem.

  A. "You feel inadequate because you have never learned to balance a checkbook."

  B. "You should have insisted your husband teach you about the finances."

  C. "You are strong and will learn how to manage your finances after a while."

  D. "Why don't you take a class in basic finance from the local college?"

  Correct Answer: C

  The nurse can raise the client's self-esteem by communicating confidence the client can participate in actively finding solutions to the problem. The nurse also conveys the client is a worthwhile person by listening and accepting the client's feelings and praising the client for seeking assistance.

• Question 914:

  The nurse wishes to decrease a client's use of denial and increase the client's expression of feelings.

  To do this the nurse should __________.

  A. tell the client to stop using the defense mechanism of denial

  B. positively reinforce each expression of feelings

  C. instruct the client to express feelings

  D. challenge the client each time denial is used

  Correct Answer: B

  The nurse should positively reinforce each expression of feelings.

• Question 915:

  A nurse is planning a brief treatment program for a client who was raped.

  A realistic, short-term goal is to __________.

  A. identify all psychosocial problems

  B. eliminate the client's enticing behaviors

  C. resolve feelings of trauma and fear

  D. verbalize feeling about the event

  Correct Answer: D

  A realistic short-term goal is for the client to verbalize feelings about the event.

  A brief treatment program is not designed to identify or resolve problems. The focus is on managing acute

  symptoms. If in-depth psychological problems are identified, the nurse might make referrals for treatment.

• Question 916:

  The LPN is teaching a 28-year-old patient about HPV.

  Which statement, if made by the patient, would warrant the need for further teaching?

  A. "I'm just so confused how I got it; my boyfriend never had any symptoms!"

  B. "It's a bummer that I'm too old for the vaccine."

  C. "It's great that HPV usually just goes away on its own."

  D. "I feel a bit better about having HPV now that I know that almost all sexually active people have it at some point."

  Correct Answer: A

• Question 917:

  A 12-year-old male is brought to his primary care provider to determine whether sexual abuse has occurred. The mother states, "Because there is no permanent physical damage, he does not need any more treatment."

  The nurse's response should be based on which of the following pieces of information?

  A. Male victims of sexual abuse seldom have long-term psychological problems.

  B. Survivors of male sexual abuse might become confused about their sexual identity.

  C. Unless treated, all male sex abuse survivors grow up to abuse other children.

  D. All children who have been sexually abused have the same needs, regardless of gender.

  Correct Answer: B

  Male children are sexually abused nearly as often as female children. Perpetrators are usually men but

  can be women.

  Needs of male children who have been sexually abused might be different from the needs of female

  survivors.

  Male survivors might respond in anger, question their sexuality, use alcohol and other drugs, and might try

  to prove their masculinity by performing daring acts.

• Question 918:

  The LPN needs to determine the patient's respiratory rate.

  What is the best technique to do this?

  A. Count respirations while pretending to check the patient's pulse.

  B. Subtly watch the patient from across the room when they are doing an activity.

  C. Ask the patient to sit still for 30 seconds.

  D. Tell the patient you need to count their respiratory rate.

  Correct Answer: A

• Question 919:

  A laboring patient is experiencing late decelerations.

  Which position should she be placed in?

  A. lithotomy

  B. semi-Fowler's

  C. left lateral

  D. right lateral

  Correct Answer: C

• Question 920:

  The LPN is teaching a first-time mother about breastfeeding her infant, who was born that day.

  Which statement, if made by the mother, would reflect that the teaching had been successful?

  A. "My baby should be nursing 8-12 times a day during this period."

  B. "My baby should be having at least 4-6 wet diapers a day until 1 month."

  C. "It's nice that breastfed babies eat a bit less than formula fed babies."

  D. "I'm a little nervous about my milk coming in tomorrow. I've heard it's uncomfortable."

  Correct Answer: A