Nclex-Rn Practice Questions-Health Promotıon And Maıntenance - Part 3
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Question 1 |
During a yearly physical examination, a client tells the nurse that the client “is stressed to the max” by work and family obligations. First, the nurse:
A | Encourages the client to speak with the physician. |
B | Suggests the client obtain a prescription for sleep aid medication. |
C | Discusses positive options for stress reduction. |
D | Counsels the client to consider a career change. |
Question 2 |
A young, adult client has a family history of chronic lung disease. He wants to avoid these processes and asks the nurse for information. The nurse replies:
A | There is nothing that can alter your genetic makeup. |
B | Chronic lung disease affects the elderly. |
C | You will not have lung disease if you do not smoke cigarettes. |
D | Occupational exposure to inhaled toxic agents leads to lung disease. |
Question 3 |
A nurse works in a clinic where the nurse is responsible for client education. Which principle is a factor in client education?
A | Every client is a learner throughout life. |
B | Learning is difficult for the very young and very old client. |
C | Middle-aged clients are busy with work and family and cannot focus on learning. |
D | Clients learn best when they are faced with a serious illness. |
Question 4 |
The nurse understands that one of the most vital aspects of teaching includes:
A | Relaying accurate information to the client. |
B | Asking the client what the client feels and needs to know. |
C | Identifying the way a client learns best. |
D | Having the client take a short pre- and post-test on the material. |
Question 5 |
The nurse is most likely to be an effective educator of clients when:
A | The nurse has complete content expertise. |
B | The nurse displays listening skills and receives feedback. |
C | The relationship between nurse and client is formal and impersonal. |
D | The nurse understands that good educators are born, not made. |
Question 6 |
The nurse educator knows that a client will understand and recall material better if the learning environment includes problem-based as well as knowledge-based activities. Which is an example of a problem-based activity?
A | The client recalls the symptoms of the client’s disease. |
B | The client comprehends the client’s medication regimen. |
C | The client can analyze the client’s glucometer value and determine what action is needed. |
D | The client performs a self-care activity accurately. |
Question 7 |
A client has asthma. The nurse is aware that:
A | A written asthma plan and peak expiratory flow measurements foster self-care. |
B | Asthma education (information) improves health outcomes in adults. |
C | Regular, ongoing reviews of client education are not necessary or beneficial. |
D | Clients with asthma have the same incidence of hospital admissions, unscheduled physician visits, and missed days of work as clients without asthma. |
Question 8 |
As winter approaches, the nurse counsels an elderly client:
A | To remain indoors as much as possible. |
B | That he needs thermal protection when outdoors. |
C | To consider spending the winter in a milder climate. |
D | That he will likely become ill if he does not remain in an environment with a constant temperature. |
Question 9 |
Self-monitoring of blood glucose is an important part of diabetes management because:
A | An elevated blood glucose level prompts the client to exercise and thus lower the value. |
B | An abnormal blood glucose value indicates the client is ingesting too many carbohydrates. |
C | It enables the client to make self-management decisions. |
D | Monitoring alerts the client that his insulin is not effective, and he should open a new vial. |
Question 10 |
As clients age, the nurse should remember that self-care practices by the client:
A | Result in a failure of the client to utilize medical services. |
B | Have little or no effect on mortality, but do reduce the overall rate of illness. |
C | Are limited in the ability to influence health and well-being. |
D | Promote health of the client now and in the future. |
Question 11 |
A student nurse is having difficulty determining the liver span of a client. The experienced nurse educates the student:
A | Since the liver span varies considerably between individuals, its measurement is of little value. |
B | To percuss in the midclavicular line from the nipple line downward and the iliac crest upward. |
C | To palpate the position of the liver first, and then attempt to percuss its position. |
D | That having the client flex his knees will relax the abdominal musculature. |
Question 12 |
When assessing the cardiovascular system the nurse inspects and palpates blood vessels. A rigid (hard) blood vessel will vibrate. The correct term for a palpable vibration of a blood vessel is:
A | Bruit. |
B | Murmur. |
C | Thrill. |
D | Heave. |
Question 13 |
When performing a physical examination on an elderly client, the nurse:
A | Assesses the musculoskeletal system by asking the client to hop on one foot and perform deep knee bends. |
B | Limits distractions because of the client’s sensory deficits in vision and hearing. |
C | Evaluates the pulmonary status with deep breaths, breath holding, and forced expirations. |
D | Focuses on different walking maneuvers (heelto-toe, tandem, heel walking) to evaluate neuromuscular function. |
Question 14 |
When performing a physical examination on a 2-year-old client, the nurse:
A | Performs a head-to-toe examination in the same manner as a physical examination performed on an adult client. |
B | Sedates the client to achieve cooperation. |
C | Performs the minimally invasive maneuvers such as the examination of the ears and eyes at the beginning of the exam. |
D | Listens to the heart, lungs, and bowel sounds first. |
Question 15 |
A 75-year-old client exhibits diminished but equal peripheral pulses and cool hands and feet. The nurse’s most appropriate action is to:
A | Immediately notify the physician. |
B | Place the client on a cardiorespiratory monitor and assess the client for possible atriaventricular block. |
C | Understand these are normal gerontological changes caused by diminished inotrophy and arterial rigidity. |
D | Initiate oxygen therapy and call the code team. |
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