Online Practice Test 22

Your Results for: "NCLEX® Review"

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Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 22 > NCLEX® Review Date/Time Submitted: July 14, 2012 at 4:08 AM (UTC/GMT)

Summary of Results 60% Correct of 10 Scored items: 6 Correct:  60% 4 Incorrect:  40% More information about scoring

1.		A 25-year-old comes to the clinic with complaints of difficulty sleeping, weight loss, stomach discomfort, and vague aches and pain. The history reveals that the client was laid off from work two months previously, is not seeking employment, has no friends or family within 200 miles, and has almost no social contact with anyone. The priority action of the nurse should be to: Your Answer: Refer the client to a mental health professional
		Objective: Identify characteristic tasks of development during young and middle adulthood. Rationale: These are classic symptoms of depression and identifying behaviors of high suicide risk. The client needs to be referred immediately to a mental health professional or crisis center. Other health screenings and assistance with employment can be addressed after the danger of suicide is lessened. Nursing Process: Implementation Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Decide what is the best action for client and situation.
2.		The nurse is providing a community education program on hypertension to a predominately African-American group of young adults. The nurse should plan the program to address which controllable contributing factors for hypertension? Your Answer: Alcohol and substance abuse Correct Answer: Obesity and stress
		Objective: Identify selected health problems associated with young and middle-aged adults. Rationale: Controllable contributing factors for development of hypertension include smoking, obesity, high-sodium diets, and high stress levels. Hypertension is a health problem for young African-American men. While this biologic inheritance factor cannot be controlled, lifestyle changes can be made to reduce the risk. Alcohol and substance abuse, while health problems, are not contributing factors for hypertension. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
3.		A 22-year-old woman reports the following health history: sexual activity beginning age 14, multiple sex partners, and previous Trichomonas vaginitis. Based on this history, the nurse knows that an essential screening exam to prepare the client for will be:  Your Answer: Papanicolaou (Pap) test
		Objective: Identify characteristic tasks of development during young and middle adulthood. Rationale: This client presents with high risk factors for cervical cancer. The screening test for cervical cancer is the Papanicolaou (Pap) test. Breast cancer is rare under age 25, so mammography is not indicated; however, breast self-examination should be encouraged. There is no indication for chest x-ray or drug screen tests. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
4.		A 43-year-old woman reports symptoms of hot flashes, weight gain, and insomnia. She says: "I can't be going through menopause, something else must be wrong! My mother didn't go through menopause until she was 54 years old!" What is an appropriate response by the nurse? Your Answer: "Menopause usually happens anytime between ages 40 and 55. It sounds like you are upset about this."
		Objective: Identify selected health problems associated with young and middle-aged adults. Rationale: Menopause usually occurs anytime between ages 40 and 55. The average age is 47. Common symptoms are hot flashes, chilliness, breast flabbiness, weight gain, insomnia, and more frequent headaches. This can be an anxiety-producing time for women, and the nurse can offer support. Nursing Process: Implementation Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
5.		A 45-year-old male client who has attended classes on coronary heart disease prevention reports that he quit smoking, doesn't have hypertension nor eat much red meat. What other important behavior would indicate that the nurse's teaching has been effective? Your Answer: Avoiding strenuous activity Correct Answer: Swimming for an hour, four times weekly
		Objective: Identify selected health problems associated with young and middle-aged adults. Rationale: Physical inactivity poses the greatest risk factor for developing coronary heart disease. Other risk factors are smoking, obesity, hypertension, hyperlipidemia, diabetes mellitus, and family history. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection
6.		A 50-year-old client complains about getting older, saying: "Everything is starting to sag and wrinkle! I don't want to go anywhere looking like this." The nurse determines that, according to Erickson, this client is experiencing: Your Answer: Stagnation
		Objective: Describe the usual physical development occurring during young and middle adulthood. Rationale: Erikson's developmental choice for this age group is generativity versus stagnation. Generative persons are comfortable with themselves and their lifestyles, receiving gratification from charitable endeavors. Individuals experiencing stagnation cannot accept their aging bodies, and withdraw. Disengagement describes mutual withdrawal between elders and others in their environment. Continuity is maintenance of values, habits, and behaviors into old age. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection
7.		A thirty five year old mother of three children has come to the clinic for treatment of her son's ear infection. The nurse notices bruises on the mother's upper arm and on the boy's legs. The mother and son are both quiet and do not answer the nurse's questions about the bruises. The nurse knows:  Your Answer: Community resources are available to assist families in need
		Objective: Identify selected health problems associated with young and middle-aged adults. Rationale: Physical abuse can affect anyone. When a nurse sees an individual (s) who may be abused, the nurse must perform an assessment to determine the extent of the abuse. Kind, gentle questions may assist the client to confide in the nurse. Nurses are bound to report suspected child abuse to officials. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Decide what is the best action for client and situation
8.		Which immunizations are appropriate for middle aged adults? (Select all that apply.) Your Answer: Tetanus booster Pneumococcal  Influenza
		Objective: Identify selected health problems associated with young and middle-aged adults. Rationale: Tetanus booster is recommended every 10 years. Influenza and pneumococcal vaccinations are recommended every year. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge of health promotion
9.		Screening for tuberculosis should take place every __________ years. Your Answer: 3 Correct Answers: two 2
		Objective: Identify selected health problems associated with young and middle-aged adults. Rationale: Screening for tuberculosis should occur every two years. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Comprehension Strategy: Use nursing knowledge of health promotion.
10.		A fifty year old man has been admitted to the hospital with chest pain. He admits to having some chest tightness for the past two weeks especially while playing tennis. Upon questioning, he denies past medical history or a family history of cardiac disease. What are some of the factors that contribute to heart disease? Your Answer: Family history, hypertension, obesity Correct Answer: Smoking, excessive exercise, hypertension
		Objective: Identify selected health problems associated with young and middle-aged adults. Rationale: Coronary heart disease is the leading cause of death for the middle-aged adult. Several factors contribute to CHD: smoking, hypertension, hyperlipidemia, diabetes mellitus, sedentary life style, family history or sudden death in a father less than 55 years of age. Nursing Process: Assessment Client Need: Physiological Integrity Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.