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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q400-Q405):
NEW QUESTION # 400
A client's behavior is annoying other clients on the unit. He is meddling with their belongings and dominating the group. The best approach by the nurse is to:
- A. Have his medication increased.
- B. Set limits on his behavior.
- C. Ignore him and tell the other clients that these behaviors are due to his illness and that they should understand.
- D. Seclude him in his room.
Answer: B
Explanation:
Section: Questions Set D
Explanation:
(A) This action by the nurse would be punitive. (B) Consistent limit setting will help the client to know what is acceptable behavior. (C) This action is not within the nurse's scope of practice. (D) This could be dangerous to the client and to others and violates other clients' rights.
NEW QUESTION # 401
A 44-year-old female client is receiving external radiation to her scapula for metastasis of breast cancer.
Teaching related to skin care for the client would include which of the following?
- A. Teach her to cover broken skin in the treated area with a medicated ointment.
- B. Encourage her to wear a tight-fitting vest to support her scapula.
- C. Teach her to completely clean the skin to remove all ointments and markings after each treatment.
- D. Encourage her to avoid direct sunlight on the area being treated.
Answer: D
Explanation:
(A) The skin in a treatment area should be rinsed with water and patted dry. Markings should be left intact, and the skin should not be scrubbed. (B) Clients should avoid putting any creams or lotions on the treated area. This could interfere with treatment. (C) Radiation therapy clients should wear loose-fitting clothes and avoid tight, irritating fabrics. (D) The area of skin being treated is sensitive to sunlight, and the client should take care to prevent sun damage by avoiding direct sunlight and covering the area when she is in the sun.
NEW QUESTION # 402
A male client is admitted to the psychiatric unit after experiencing severe depression. He states that he intends to kill himself, but he asks the nurse not to repeat his intentions to other staff members. Which response demonstrates understanding and appropriate action on the part of the nurse?
- A. "I understand you're depressed, but killing yourself is not a reasonable option."
- B. "We need to discuss this further, but right now let's complete these forms."
- C. "Don't do that, you have so much to live for. You have a wonderful wife and children. The client in the next room has no one."
- D. "This is very serious. I do not want any harm to come to you. I will have to report this to the rest of the staff."
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) To the client, suicide may be a reasonable action and the only one he can cope with at this time. (B) This response indicates to the client that his intention to commit suicide is not important to the nurse at this time. (C) The client is so depressed that he is not able to see the positive aspects of his life. At no time should the nurse discuss another client's problems in conversation. (D) This statement tells the client that the nurse recognizes his problem is of a serious nature and will take all steps necessary to help him.
NEW QUESTION # 403
A successful executive left her job and became a housewife after her marriage to a plastic surgeon. She started doing volunteer work for a charity organization. She developed pain in her legs that advanced to the point of paralysis. Her physicians can find no organic basis for the paralysis. The client's behavior can be described as:
- A. Malingering
- B. Agoraphobia
- C. Conversion reaction
- D. Housework phobia
Answer: C
Explanation:
Section: Questions Set D
Explanation:
(A) A typical phobia does not result in physical symptoms (i.e., paralysis). (B) Malingering is pretending to be ill.
This person has a true paralysis. (C) A conversion reaction is a physical expression of an emotional conflict. It has no organic basis. (D) Agoraphobia is fear of public places.
NEW QUESTION # 404
The nurse instructs a client on the difference between true labor and false labor. The nurse explains, "In true labor:
- A. The fetus does not descend."
- B. Uterine contractions will weaken with walking."
- C. The cervix does not dilate."
- D. Uterine contractions will strengthen with walking."
Answer: D
Explanation:
Explanation
(A) Uterine contractions increase with activity. (B) Walking will increase the strength and regularity of uterine contractions in true labor. (C) Uterine contractions that are strong and regular facilitate cervical dilation. (D) Regular, strong uterine contractions, as in true labor, result in fetal descent.
NEW QUESTION # 405
......
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