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Saunder's Comprehensive NCLEX Review Practice Questions with answers
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Saunder's Comprehensive NCLEX Review Practice Questions with answers
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Saunder's Comprehensive NCLEXReview Practice Questions with answers
Which |teaching |method |is |most |effective |when |providing |instruction |to |members |of |special
|populations?
1. |Teach-back
2. |video |instruction
3. |written |materials
4. |verbal |explanation |- |ANSWERS✔✔ |1. |Teach-back
Rationale: |When |providing |education |to |members |of |special |populations, |return
|explanation |and |demonstration |(teach-back) |of |are |particular |importance |to |ensure |safety
|and |mutual |understanding. |This |method |is |the |most |reliable |in |confirming |the |client
|understands |the |instructions.
Which |health |concerns |should |the |nurse |be |aware |of |as |risk |factors |when |caring |for |clients
|of |African |American |descent? |Select |all |that |apply:
1. |cancer
2. |obesity
3. |hypertension
4. |heart |disease
5. |hypothyroidism
6. |diabetes |mellitus |- |ANSWERS✔✔ |1, |2, |3, |4, |6 |
Rationale: |obesity, |diabetes |mellitus, |hypertension, |heart |disease, |asthma, |and |cancer |are
|prevalent |among |African |Americans.
,The |nurse |is |planning |care |for |a |client |of |Native |Hawaiian |descent |who |recently |had |a |baby.
|The |nurse |develops |a |teaching |plan |and |includes |info |about |which |measure |that's |related |to
|a |newborn |complication |within |this |ethnic |group?
1. |safe |sleeping
2. |car |seat |safety
3. |breast-feeding
4. |baby-proofing |- |ANSWERS✔✔ |1. |Safe |sleeping |
Rationale: |The |native |Hawaiian |population |has |a |disproportionately |higher |rate |of |infant
|mortality |compared |with |other |ethnic |groups. |Sudden |Infant |Death |Syndrome |(SIDS) |is |a
|major |cause |of |infant |mortality. |Safe |sleeping |is |an |important |measure |to |prevent |this
|newborn |complication.
The |nurse |is |planning |care |for |an |assigned |client. |The |nurse |should |include |info |in |the |plan
|of |care |about |the |prevention |of |HIV |for |which |individuals |specifically |at |risk?
1. |lesbian |persons |
2. |men-who-have-sex-with-men |(MSM)
3. |women-who-have-sex-with-women |(WSW)
4. |Female-To-Male |(FTM) |transgender |persons |- |ANSWERS✔✔ |2. |MSM
Rationale: |MSM |(men |who |have |sex |with |men) |are |at |a |higher |risk |for |HIV |and |AIDS.
Which |therapeutic |communication |technique |is |most |helpful |when |working |with
|transgender |persons?
1. |using |open-ended |questions
2. |using |their |first |name |to |address |them
3. |using |pronouns |associated |with |birth |sex
4. |anticipating |the |client's |needs |and |making |suggestions |- |ANSWERS✔✔ |1. |Using |open-
ended |questions
,Rationale: |The |use |of |open-ended |questions |is |the |most |helpful |in |communicating |with
|transgender |persons |because |it |assists |in |refraining |from |judgment |and |allows |the |client
|the |opportunity |to |express |their |thoughts |and |feelings.
Which |special |population |should |be |targeted |for |breast |cancer |screening |by |way |of
|mammography? |Select |all |that |apply:
1. |male-to-female |(MTF)
2. |female-to-male |(FTM)
3. |men-who-have-sex-with-men |(MSM)
4. |women-who-have-sex-with-men |(WSM)
5. |women-who-have-sex-with-women |(WSW) |- |ANSWERS✔✔ |1, |2, |4, |5
Rationale: |Transgender |persons |who |have |undergone |sexual |reassignment |surgery |should
|have |the |respective |preventive |screenings. |WSW |and |WSM |should |also |have |screenings.
The |nurse |is |volunteering |with |an |outreach |program |to |provide |basic |healthcare |for
|homeless |people. |Which |finding, |if |noted, |should |be |addressed |first?
1. |BP |154/72
2. |visual |acuity |of |20/200 |in |both |eyes
3. |random |blood |glucose |level |of |206 |
4. |complaints |of |pain |associated |with |numbness |and |tingling |in |both |feet |- |ANSWERS✔✔ |4.
|complaints |of |pain |associated |with |numbness |and |tingling |in |both |feet
Rationale: |With |this |population, |the |complaints |of |pain |associated |with |numbness |and
|tingling |should |be |addressed |first. |If |the |client |perceives |value |to |the |service |provided, |they
|will |be |likely |to |provide |follow-up |care. |While |the |bp, |blood |glucose, |and |vision |are
|concerning, |the |client's |stated |concern |should |be |addressed |first.
The |nurse |is |preparing |discharge |resources |for |a |client |being |discharged |to |the |homeless
|shelter. |When |looking |at |the |discharge |medication |reconciliation |form, |the |nurse
|determines |there |is |a |need |for |follow-up |if |which |medication |was |prescribed?
, 1. |Glipizide
2. |Lisinopril
3. |Metformin
4. |Beclomethasone |- |ANSWERS✔✔ |1. |Glipizide
Rationale: |Glipizide |is |an |oral |hypoglycemic |medication |and |is |classified |as |a |sulfonylurea. |A
|major |side |effect |of |this |medication |is |hypoglycemia, |which |is |a |safety |risk |to |the |homeless
|population. |Lisinopril |is |an |angiotensin-converting |enzyme |inhibitor. |Although |there |are
|side |effects |that |should |be |included |in |discharge |instructions, |there |is |less |of |a |threat |to
|safety |with |this |medication |and |the |benefits |to |it |are |important. |Metformin |is |an |oral
|biguanide |and |is |used |for |type |2 |diabetes |mellitus. |Hypoglycemia |is |less |of |a |concern |with
|this |medication |compared |with |other |oral |hypoglycemics. |Beclomethasone |is |an |inhaled
|corticosteroid |used |for |obstructive |lung |disease, |and |although |there |are |side |effects |the
|client |should |know |about, |there |is |not |a |particular |safety |risk |associated |with |this
|medication |for |the |homeless |person.
The |nurse |is |completing |the |admission |assessment |for |a |client |who |is |intellectually
|disabled. |Which |part |of |the |client |encounter |may |require |more |time |to |complete?
1. |the |history
2. |the |physical |assessment
3. |the |nursing |plan |of |care
4. |the |readmission |risk |assessment |- |ANSWERS✔✔ |1. |the |history
Rationale: |intellectually |disabled |clients |tend |to |be |poor |historians, |and |it |may |take |more
|time |to |ask |questions |in |different |ways |when |collecting |the |history |data.
The |nurse |working |in |a |correctional |facility |is |caring |for |a |new |prisoner. |The |client |asks
|about |health |risks |associated |with |living |in |a |prison. |How |should |the |nurse |respond?
1. |"health |care |is |very |limited |in |the |prison |setting"
2. |"living |in |a |prison |isn't |different |than |living |at |home"
3. |"living |in |a |prison |can |predispose |a |person |to |different |health |conditions"
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