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Chapter 23

NCLEX Review

NCLEX Review

This activity contains 10 questions.

	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:   Suggest that the client take over-the-counter sleeping medications Schedule the client for stomach x-rays and further tests Refer the client to a local employment service Refer the client to a mental health professional

	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?   Vigorous physical activity and weight loss Obesity and stress Biologic inheritance and socioeconomic status Alcohol and substance abuse

	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:   Papanicolaou (Pap) test Breast exam and mammography Chest x-ray Drug screen

	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?   "You definitely are going through menopause, even though it is unusual to do so at such a young age." "These are not menopausal symptoms, and you need tests to determine what is happening." "This is menopause, and you will have to learn to live with it." "Menopause usually happens anytime between ages 40 and 55. It sounds like you are upset about this."

	A 45-year-old male client who has attended classes on coronary heart disease prevention reports that he quit smoking, doesn't have hypertension, and doesn't eat much red meat. What other important behavior would indicate that the nurse's teaching has been effective?   Seeing a physician yearly for an EKG Swimming for an hour, four times weekly Drinking a glass of wine every day Avoiding strenuous activity

	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:   Generativity Stagnation Disengagement Continuity

	An 86-year-old client sitting up in a chair complains of being cold even though the room thermometer measures 78 degrees. The most appropriate nursing action would be to:   Get the client a sweater, blanket, and stockings Check the client's temperature Ignore the complaint, since the room is sufficiently warm Put a space heater next to the client

	A nurse is planning a community education program on osteoporosis. Which group of high-risk individuals needs to be included in the mailing list of invitations to attend the program?   Premenopausal women Physically active men and women ages 40-55 Men and women who consume large amounts of dairy products Inactive elderly men

	The daughter of an 88-year-old female client newly admitted to a nursing home states that her mother does not socialize much at all, and asks the nurse to "be sure to plan activities to get her out more." Keeping continuity theory in mind, what assessment information does the nurse need to obtain before planning any intervention?   The amount of social activity the client was involved in when younger The mobility ability of the client The visual and hearing abilities of the client The ability of the client to understand and engage in meaningful conversation

	The nurse is preparing to discharge several clients from the hospital. All the clients require medications and special diets at home. The nurse will assess financial status of which client in particular, who may be most in need of financial assistance to obtain medications and proper food?   A 60-year-old Caucasian male A 90-year-old Caucasian female A 75-year-old African-American male A 87-year-old African-American female

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