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NCLEX simclex review questions and answers Rated A+ New Update Assured Satisfaction
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NCLEX simclex review"I noticed you took all your medications." is what type of therapeutic communication? -
correct answer-Giving recognition
"universal donor" blood type - correct answer-O-
"You seem pretty confident about using that inhaler." is what type of therapeutic
communication? - correct answer-Making observations
When using therapeutic communication, a nurse may make observations about the client's
behavior or actions. These observations are designed to encourage the client to speak more
about the situation. In the above example, the client may relay information to the nurse as to
why he is proficient with using an inhaler. This information helps the nurse better understand
the client's condition to provide more appropriate care
2 teaching things for food and fluid intake for a parkinson's patient - correct answer-Clients
with Parkinson's benefit from small. frequent, nutrient-dense meals rather than fewer, larger
meals.
Encourage fluids
Increasing protein and fiber
2 things to promote fire safety with home oxygen? - correct answer-The canister should be
kept at least five feet away from flame sources, but ideally as far away as possible.
Avoid using electric razors, hairdryers, or curling irons while on oxygen
A 14-year-old teen has been hospitalized for acute exacerbation of ADHD symptoms. The
nurse tries to help the client to engage with others on the unit. Which of the following
interventions would be most appropriate for supporting social interaction for this client? -
correct answer-Help the child join a structured game with other children
A child with ADHD may have difficulties with social functioning because their behavior may
be disruptive or intrusive toward others. The nurse can still help the child with some social
dynamics by allowing him to participate in a structured setting on a limited basis. Expecting
the child to talk out his feelings, listen for a long time to someone else, or spend too much
time alone is typically not helpful in this situation.
A 23-year-old client is being seen for treatment after purposely cutting the skin on her arm.
The client has impulsive behavior, is angry, and has been losing friends because of intense
and needy behavior. Which type of personality disorder does this best describe? - correct
answer-Borderline personality disorder
, A 27 week pregnant client in preterm labor is given tocolytics which are successful. What
would the nurse expect to be included in the client's plan of care? - correct
answer-Betamethasone
Betamethasone can be given to accelerate fetal lung maturity now that the preterm labor is
stopped. The goal would be to administer split doses for betamethasone for at least 48 hours
prior to delivery.
Surfactant is given post delivery for lung maturity.
A 29-year-old pregnant client arrives at the hospital in active labor. The client is deaf and her
husband is with her. Which intervention from the nurse expresses her ability to communicate
with this client? - correct answer-Assess the communication ability of the client and her
husband and ask them what they would prefer
When working with a deaf or hard of hearing client, the nurse should first determine how the
client wants to communicate. Many deaf people are have integrated into society by using
ASL, lip reading, or other forms of communication, but the nurse will not know this client's
choice of communication until asking the client. Before getting an interpreter, the nurse
should first find out the client's preference.
A 92-year-old client with a history of smoking and COPD is found to have developed
prostate cancer. The cancer is localized. The nurse knows that prostate cancer in this type of
client will most likely be treated in which of the following ways? - correct answer-An older
adult who develops prostate cancer is usually treated for symptom management only. This
client has COPD, and likely will not tolerate general anesthesia for surgery. Aggressive
treatment is rarely sought or recommended in the older adult population.
A client has received a prescription for sertraline for the treatment of depression. The nurse
is educating the client about what types of side effects to look for when taking this
medication. Which of the following statements by the nurse is correct? - correct answer-the
client should be taught that there is a potential for increased feelings of anxiety, as well as
the potential for increased thoughts of suicide when drug therapy is first initiated.
A client is being seen in the emergency department after a spinal cord injury. The client
initially states an inability to feel anything below the shoulders. At which point would this
client need to be intubated with an endotracheal tube? - correct answer-The point at which
the client has a Glasgow Coma Score of 8
A spinal cord injury produces paresthesia below the level of the injury; paraplegia indicates
an injury in which the patient cannot move the lower extremities, while quadriplegia is a
higher-level injury where the patient often cannot move the upper or lower extremities. With
a higher-level injury, the patient may also need breathing support; if the spinal cord was
injured above the level that stimulates breathing, the patient may need intubation.
Respiratory failure is an indication for intubation, as is a GCS result of <9, which indicates a
decreased level of consciousness.
A client is hospitalized for dehydration and is experiencing severe nausea and vomiting.
Which of the following types of IV solutions would most likely be administered to correct this
situation? - correct answer-Isotonic solutions
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