Question # 1. The nurse in an outpatient clinic supervising student nurses administering influenza vaccinations. The nurse should question the administration of the vaccine to which of the following clients?
a. A 45-year-old male who is allergic to shellfish.
b. A 60-year-old female who says she has a sore throat.
c. A 66-year-old female who lives in a group home.
d. A 70-year-old female with congestive heart failure.
Answer: b. A 60-year-old female who says she has a sore throat.
Question # 2. The client is concerned about his coming discharge, manifested by being unusually sad. Which is the most therapeutic approach by the nurse?
a. “You are much better than when you were admitted so there’s no reason to worry.”
b. “What would you like to do now that you’re about to go home?”
c. “You seem to have concerns about going home.”
d. “Aren’t you glad that you’re going home soon?”
Answer: c. “You seem to have concerns about going home.”
Question # 3. The nurse performs a home visit on a client who delivered two days ago. The client states that she is bottle-feeding her infant. The nurse notes white, curd-like patches on the newborn's oral mucous membranes. The nurse should take which of the following actions?
a. Determine the baby's blood glucose level.
b. Suggest that the newborn's formula be changed.
c. Remind the caretaker not to let the infant sleep with the bottle.
d. Explain that the newborn will need to receive some medication
Answer: d. Explain that the newborn will need to receive some medication
Question # 4. An adolescent male being treated for depression arrives with his family at the Adolescent Day Treatment Center for an initial therapy meeting with the staff. The nurse explains that one of the goals of the family meeting is to encourage the adolescent to:
a. Ttrust the nurse who will solve his problem.
B. Learn to live with anxiety and tension.
C. Accept responsibility for his actions and choices.
d. use the members of the therapeutic milieu to solve his problems.The nurse teaches a 20-year-old primigravida how to measure the
Answer:C. Accept responsibility for his actions and choices.
Question # 5. A two-month-old infant is brought to the pediatrician's office for a well-baby visit. During the examination, congenital subluxation of the left hip is suspected. The nurse knows the symptoms of congenital hip dislocation include
a. L engthening of the limb on the affected side.
b. Deformities of the foot and ankle.
c. Asymmetry of the gluteal and thigh folds.
d. Plantar flexion of the foot.
Answer:c. Asymmetry of the gluteal and thigh folds.
NCLEX QUESTION ANSWERS-CLICK HERE
a. A 45-year-old male who is allergic to shellfish.
b. A 60-year-old female who says she has a sore throat.
c. A 66-year-old female who lives in a group home.
d. A 70-year-old female with congestive heart failure.
Answer: b. A 60-year-old female who says she has a sore throat.
Question # 2. The client is concerned about his coming discharge, manifested by being unusually sad. Which is the most therapeutic approach by the nurse?
a. “You are much better than when you were admitted so there’s no reason to worry.”
b. “What would you like to do now that you’re about to go home?”
c. “You seem to have concerns about going home.”
d. “Aren’t you glad that you’re going home soon?”
Answer: c. “You seem to have concerns about going home.”
Question # 3. The nurse performs a home visit on a client who delivered two days ago. The client states that she is bottle-feeding her infant. The nurse notes white, curd-like patches on the newborn's oral mucous membranes. The nurse should take which of the following actions?
a. Determine the baby's blood glucose level.
b. Suggest that the newborn's formula be changed.
c. Remind the caretaker not to let the infant sleep with the bottle.
d. Explain that the newborn will need to receive some medication
Answer: d. Explain that the newborn will need to receive some medication
Question # 4. An adolescent male being treated for depression arrives with his family at the Adolescent Day Treatment Center for an initial therapy meeting with the staff. The nurse explains that one of the goals of the family meeting is to encourage the adolescent to:
a. Ttrust the nurse who will solve his problem.
B. Learn to live with anxiety and tension.
C. Accept responsibility for his actions and choices.
d. use the members of the therapeutic milieu to solve his problems.The nurse teaches a 20-year-old primigravida how to measure the
Answer:C. Accept responsibility for his actions and choices.
Question # 5. A two-month-old infant is brought to the pediatrician's office for a well-baby visit. During the examination, congenital subluxation of the left hip is suspected. The nurse knows the symptoms of congenital hip dislocation include
a. L engthening of the limb on the affected side.
b. Deformities of the foot and ankle.
c. Asymmetry of the gluteal and thigh folds.
d. Plantar flexion of the foot.
Answer:c. Asymmetry of the gluteal and thigh folds.
NCLEX QUESTION ANSWERS-CLICK HERE
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