NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 961:

  Who should receive the hepatitis A vaccine?

  A. children who are 18 months of age

  B. infants, who should receive the vaccination at birth

  C. people who travel to other countries

  D. individuals who might come into contact with blood

  Correct Answer: C

  Hepatitis A is for individuals who travel or persons with chronic liver disease.

  Infants receive the hepatitis B vaccine at birth.

  DTaP is administered at 18 months of age.

  Individuals who come into contact with blood should be immunized against hepatitis B.

• Question 962:

  The school nurse is conducting health screenings on schoolchildren. During the screening, she identifies a child with the behavioral characteristics of attention deficit disorder.

  Which of the following behaviors is consistent with this disorder?

  A. slow speech development

  B. overreaction to stimuli from the surroundings

  C. inability to carry on a conversation

  D. concrete thinking

  Correct Answer: B

  Children with attention deficit disorder are easily distracted but are able to carry on a conversation. Concrete thinking is more indicative of age, and slow speech development has more to do with other learning disabilities.

• Question 963:

  During a routine health screening, the nurse should talk to the parents of a 1-year-old child about which of the following?

  A. the potential hazards of accidents

  B. appropriate nutrition now that the child has been weaned from breast-feeding

  C. toilet training

  D. how to purchase appropriate shoes now that the child is walking

  Correct Answer: A

  Accidents are the primary source of injury in children and can be life threatening.

  Appropriate nutrition should have been discussed during the weaning process and while the purchase of

  appropriate shoes is important, it is not life threatening.

  One year of age is too early to discuss toilet training.

• Question 964:

  A client and his family facing the end stage of a terminal illness might be best served by __________.

  A. a rehabilitation center

  B. an extended care facility

  C. Hospice

  D. a crisis intervention center

  Correct Answer: C

  Hospice has the belief that more humanized alternative care for dying clients is needed than is being provided in hospitals, which focus mostly on medical cures. No matter where the care is delivered, Hospice provides a specialized interdisciplinary team of health care professionals who work together to manage client care.

• Question 965:

  An example of an extended care facility is a __________.

  A. home health agency

  B. suicide prevention center

  C. state-owned psychiatric hospital

  D. nursing facility

  Correct Answer: D

  When an elderly client has been hospitalized for an illness, under Medicare he or she can be transferred to a nursing facility.

• Question 966:

  Kleinman's Explanatory Model of Health and Illness is significant because __________.

  A. it explains what kind of health beliefs a family is likely to have

  B. it brings out the importance of culture in forming health explanations

  C. it discusses the important role that popular and folk domains of influence have

  D. it has an educational base to the structure

  Correct Answer: C

  The anthropologist Kleinman makes a distinction between disease and illness. Disease is the health care

  professionals' biomedical understanding of the health problem, while illness is the client's personal and

  unique understanding and definition of what is happening to him.

  The theorist states that cultural factors determine the importance of the various domains of influence.

• Question 967:

  American families are having difficulty adequately performing their vital health care function.

  What are the basic reasons for this difficulty?

  A. structure of the health care system and family structure

  B. psychological factors for men and women seeking health care

  C. conditions being labeled disabilities and seen as too time consuming

  D. health care organizations (HMOs) and disconnected families

  Correct Answer: A

  Scholars suggest that the reasons families are having difficulty providing health care for their members lies with both the structure of the health care system and the family structure. Major factors explaining differences in utilization patterns of medical services include the lack of healthcare insurance coverage, lack of services for special populations (that is, teenage males), perception by families of the health care system and the health care provider, and lack of partnership between health care providers and families in mutually addressing health care issues.

• Question 968:

  A client has just returned from surgery where a femoral-popliteal bypass was performed. The nurse has assessed the client and is unable to feel a pulse at either the dorsalis pedis or the posterior tibial sites of the left foot. The foot feels warm and the color is pink.

  What action should the nurse perform next to prevent ischemia?

  A. Notify the physician immediately.

  B. Obtain a Doppler device to check for pulses, and notify the physician if they are still absent.

  C. Wait 30 minutes and recheck the pulses.

  D. Document the finding.

  Correct Answer: B

  The nurse should immediately obtain a Doppler device and recheck the pulses. The dorsalis pedis and posterior tibial can be difficult to assess and might need to be verified with a Doppler. Because the client just had a surgery in which a complication is arterial insufficiency, the client must be monitored carefully. If the pulses are not found, the nurse should recognize that this is an emergent situation, and the physician must be notified immediately. If the nurse waits 30 minutes before determining if the pulses can be felt, this could compromise the viability of the client's foot due to ischemia. Documenting the findings is important but must be performed after the nurse locates the dorsalis pedis and posterior tibial pulses or any necessary interventions are made.

• Question 969:

  A day care center has asked the nurse to provide education for parents regarding safety in the home.

  What type of preventive care does this represent?

  A. primary

  B. secondary

  C. tertiary

  D. health promotion

  Correct Answer: A

  Primary prevention involves activities that are utilized to promote wellness or prevent illness or injury.

  There are many dangers in the home for small children. Providing education regarding the need for safety

  measures to prevent injury in the home is considered primary prevention.

  Secondary prevention involves early detection of a disease or illness and quick intervention to aid the

  client in maintenance of the disease or injury. Tertiary prevention involves the reduction of a disability and

  the promotion of the highest level of functioning for a client in relation to his or her disease or injury.

  Health promotion is any activity that increases a client's health and wellness.

• Question 970:

  Which of the following strategies should the nurse include when planning care for children of migrant workers?

  A. Delay immunization because of acute illness.

  B. Provide parents with copies of medical records.

  C. Schedule preventive services at acute illness visits.

  D. Stress the importance of using one primary care provider.

  Correct Answer: B

  Migrant workers should be provided with the medical records and immunization records for their children,

  including growth charts. The parents should also be encouraged to take those records with them to every

  health care visit, including Emergency Department visits.

  It is important to provide immunizations even when the child is there for an acute illness because

  preventive care is often not obtained.

  Preventive services should also be provided, not scheduled, when a child presents for an acute illness.

  Using a single primary care provider is not an option for most migrant families. The nurse should ask the

  parents about where they are going next and give them the name, address, and phone numbers of

  providers there.