NCLEX-RN : Ethics, Processing, and Care

Study concepts, example questions & explanations for NCLEX-RN

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Example Questions

Example Question #51 : Procedures And Care

Standard precautions are a set of guidelines that are designed to prevent the spread of infection by exposure to an individual or their bodily fluids. Which of the following is not considered a standard precaution?  

Possible Answers:

The use of gloves when placing a peripheral intravenous line

The use of alcohol-based gel after patient contact

Placing clients in private rooms

The availability of appropriate and cleanly resuscitation equipment

Disposal of used linens in designed areas

Correct answer:

Placing clients in private rooms

Explanation:

Standard precautions should be utilized in the care of every patient. Hand hygiene before and after patient contact is always required. Clean, functioning, equipment should always be available. The use of personal protective gear when there is potential to blood or bodily fluid exposure is critical. This includes the proper disposal of soiled materials such as linens. However, it is not necessary for patients to be housed in private rooms unless they are affected by an infectious disease. If private rooms for infectious individuals are unavailable, it is acceptable to place patients in cohorts of the same infectious disease. 

Example Question #1 : Maintaining Psychosocial Integrity

The nurse is caring for a patient with severe agoraphobia. What area of the hospital should the nurse avoid with the patient?
Possible Answers:
Areas with lots of needles
Enclosed areas
Areas with lots of people
Wide-open spaces
Correct answer: Wide-open spaces
Explanation: A patient with agoraphobia has a fear of wide-open spaces.

Example Question #1 : General Care

A 4-year-old child is admitted to the hospital after his family was in a car crash, where his parents died. The child keeps asking you to bring his parents back to life. The nurse knows that:
Possible Answers:
This is a normal reaction
The child is delusional and may have suffered a concussion as a result of the crash
The child is depressed
The child has not seen a person die before
Correct answer: This is a normal reaction
Explanation: This is a normal reaction for a young child, who may not fully understand death. These requests are not necessarily indicative of delusion or depression.

Example Question #1 : Care

When reviewing a client's chart, the nurse sees that the doctor identified that the client is experiencing a situational crisis. An event that could cause this is:
Possible Answers:
Rape
Abortion
Child abuse
Retirement
Correct answer: Abortion
Explanation: Abortion is a common cause of a situational crisis. Retirement may cause a maturation crisis, and child abuse and rape may cause an adventitious crisis.

Example Question #1 : General Care

The nurse is caring for a patient with severe acrophobia. What area of the hospital should the nurse avoid with the patient?
Possible Answers:
Enclosed areas
Wide-open spaces
Areas with exposed levels, such as balconies
Areas with lots of needles
Correct answer: Areas with exposed levels, such as balconies
Explanation: A patient with acrophobia has a fear of heights, thus exposure to exposed levels or other significant drop-offs will scare the patient.

Example Question #1 : Care

A patient is seeking an herbal solution that produces an effect similar to estrogen. What herb should the nurse suggest the patient investigate?
Possible Answers:
Cat's claw
Black cohosh
Feverfew
Milk thistle
Correct answer: Black cohosh
Explanation: Black cohosh produces effects similar to those of estrogen.

Example Question #1 : General Care

The patient is curious about behavior therapy, and asks the nurse. The nurse would best describe behavior therapy as:
Possible Answers:
A therapy that makes use of a group dynamic
A therapy that achieves results through conditioning
A therapy that makes use of physical and social environments
A therapy that makes use of relationships and personal connection
Correct answer: A therapy that achieves results through conditioning
Explanation: Behavior therapy is a therapy that achieves results through conditioning. The therapy aims to reinforce desired behaviors and eliminated undesired behaviors.

Example Question #1 : Care

A patient is seeking an herbal solution that improves microcirculation in the eyes. What herb should the nurse suggest the patient investigate?
Possible Answers:
Peppermint oil
Aloe
DHEA
Bilberry
Correct answer: Bilberry
Explanation: Bilberry improves microcirculation in the eyes.

Example Question #1 : Care

Which of the following herbs aids in wound healing when applied topically?

Possible Answers:

Calendula flower (calendula officinalis)

Hawthorne berry (crataegus ssp)

Yellow dock (rumex crispus)

Red raspberry leaf (rubus idaeus)

Correct answer:

Calendula flower (calendula officinalis)

Explanation:

Calendula flower contains faradiol and the faradiol monoester, powerful anti-inflammatory and antiedematous triterpenoids, which have shown effects comparable to indomethacin. Yellow dock is as a laxative. Red raspberry leaf is a vasodilator, and may exacerbate inflammation. Hawthorne berry can be used to ameliorate symptoms of congestive heart failure.

Example Question #1 : Care

Which of the following herbs contains a compound similar to lovastatin?

Possible Answers:

Red yeast rice (monascus purpureus)

Nettle (urtica dioica)

Lavender (lavandula)

Kava (piper methysticum)

Correct answer:

Red yeast rice (monascus purpureus)

Explanation:

Red yeast rice contains monacolins, which block the production of cholesterol. Monacolin K has the same structure as lovastatin and functions similarly to reduce cholesterol. Nettle is best used as a painkiller, and to treat disorders of the excretory system. Kava is a sedative and anesthetic, and may also be used to treat social anxiety. Lavender has a calming effect, and is effective in inducing sleep.

 

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