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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Physiological Integrity | 43–67% | - Physiological Adaptation
|
| Topic 2: Psychosocial Integrity | 6–12% | - Mental Health Concepts - Chemical Dependency and Substance Use Disorders - Family Dynamics - Behavioral Interventions - Grief and Loss - End-of-Life Support - Therapeutic Communication - Coping Mechanisms |
| Topic 3: Health Promotion and Maintenance | 6–12% | - Antepartum, Intrapartum, Postpartum and Newborn Care - Self-Care - Developmental Stages and Transitions - Disease Prevention and Health Screening - Physical Assessment Techniques - Aging Process - Health Promotion Programs |
| Topic 4: Safe and Effective Care Environment | 26–38% | - Management of Care
|
>> Valid NCLEX-RN Test Duration <<
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NEW QUESTION # 820
The pediatrician has diagnosed tinea capitis in an 8- year-old girl and has placed her on oral griseofulvin.
The nurse should emphasize which of these instructions to the mother and/or child?
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) Giving the drug with or after meals may allay gastrointestinal discomfort. Giving the drug with a fatty meal (ice cream or milk) increases absorption rate. (B) Griseofulvin may alter taste sensations and thereby decrease the appetite. Monitoring of food intake is important, and inadequate nutrient intake should be reported to the physician. (C) The child may experience symptomatic relief after 48-96 hours of therapy. It is important to stress continuing the drug therapy to prevent relapse (usually about 6 weeks). (D) The incidence of side effects is low; however, headaches are common. Nausea, vomiting, diarrhea, and anorexia may occur. Dizziness, although uncommon, should be reported to the physician.
NEW QUESTION # 821
A child becomes neutropenic and is placed on protective isolation. The purpose of protective isolation is to:
Answer: D
Explanation:
(A) The child no longer has normal white blood cells and is extremely susceptible to infection. (B) There are more appropriate ways to provide privacy, and there is no need to protect the child from healthy visitors. (C) Visitors and visiting hours may be at the client's and/or family's request without regard to the isolation precaution. (D) The child may have strong positive relationships with other clients or staff. As long as proper precautions are observed, there is no reason to isolate her from them.
NEW QUESTION # 822
In addition to changing the mother's position to relieve cord pressure, the nurse may employ the following measure (s) in the event that she observes the cord out of the vagina:
Answer: A
Explanation:
Explanation
(A) Saline should be warmed; waiting 15 minutes may not keep the cord moist. (B) This choice does not specify what the sponge was "wet" with. (C) This measure would stop circulation to the fetus. (D) The cord should be kept warm and moist to maintain fetal circulation. This measure is an accepted nursing action.
NEW QUESTION # 823
A 70-year-old client has pneumonia and has just had a respiratory arrest. He has just been intubated with an 8- mm endotracheal tube. During auscultation of his chest, breath sounds were found to be absent on the left side. The nurse identifies the most likely cause of this as:
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) Appropriate endotracheal tube sizes for adults range from 7.0-8.5 mm. (B) Pneumothorax could be indicated by an absence of breath sounds on the affected side. However, in a recently intubated client, the first priority would be to consider tube malposition. (C) During intubation, the right mainstem bronchus can be inadvertently entered if the endotracheal tube is inserted too far. Left mainstem bronchus intubation almost never occurs because of the angle of the left mainstem bronchus. (D) Breath sounds for someone with pneumonia may be decreased over the areas of consolidation. However, in a recently intubated client, the first priority would be to consider tube malposition.
NEW QUESTION # 824
A 29-year-old client delivered her fifth child by the Lamaze method and developed a postpartal hemorrhage in the recovery room. What are the initial symptoms of shock that she may experience?
Answer: A
Explanation:
Explanation
(A) Early shock does not exhibit the symptom of marked elevation in blood pressure. A narrowing of the pulse pressure is indicative of early shock. (B) Anuria is a clinical finding in late shock. (C) All of these clinical findings are congruent with early shock. (D) Absence of urinary output is a clinical finding in the late phase of shock.
NEW QUESTION # 825
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