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NCLEX National Council Licensure Examination(NCLEX-PN) Sample Questions (Q411-Q416):
NEW QUESTION # 411
An adolescent female reports being raped at a party where alcohol was served. The client admits to drinking alcohol before being raped by an acquaintance. The nurse should:
- A. ask the client if anyone witnessed the event because the client was intoxicated and might not remember correctly.
- B. inform the client that because she is underage, she is at fault for attending a party where alcohol was served.
- C. question whether the woman had consensual sex and now just feels guilty.
- D. inform the client that it was not her fault, and support the client through the physical examination.
Answer: D
Explanation:
Explanation/Reference:
Explanation:
Acquaintance rape remains a controversial topic because of lack of agreement on the definition of consent.
Most acquaintance rapes take place in either the victim's or the assailant's home or apartment. Most victims of acquaintance rape inform someone close to them, but less than 30% report the incidence to the authorities. Survivors of acquaintance rape report similar levels of depression, anxiety, complications in subsequent relationships, and difficulty attaining prerape levels of sexual satisfaction to what survivors of stranger rape report. Coping is more difficult for victims of acquaintance rape if others fail to recognize that the emotional impact is just as serious. Psychosocial Integrity
NEW QUESTION # 412
A client with Kawasaki disease has bilateral congestion of the conjunctivae, dry cracked lips, a strawberry tongue, and edema of the hands and feet followed by desquamation of fingers and toes. Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?
- A. assessing the extremities for edema, redness and desquamation every 8 hours
- B. assessing heart sounds and rhythm
- C. explaining progression of the disease to the client and his or her family
- D. administering immune globulin intravenously
Answer: C
Explanation:
Teaching the client and family about progression of the disease includes explaining when symptoms can be expected to improve and resolve. Knowledge of the course of the disease can help them understand that no permanent disruption in physical appearance will occur that could negatively affect body image. Clients with Kawasaki disease might receive immune globulin intravenously to reduce the incidence of coronary artery lesions and aneurysms. Cardiac effects could be linked to body image, but Choice 3 is the most direct link to body image.
The nurse assesses symptoms to assist in evaluation of treatment and progression of the disease.Health Promotion and Maintenance
NEW QUESTION # 413
A client expresses anxiety about having magnetic resonance imaging performed. Which of the following is an appropriate response by the nurse?
- A. "There is absolutely nothing to worry about."
- B. "The test won't last long, so you can handle it."
- C. "You can receive a sedative to help you relax during the test."
- D. "There is no discomfort with this test, so don't be anxious."
Answer: C
Explanation:
Explanation/Reference:
Explanation:
This statement reassures the client that there is a solution for relief of his anxiety. The other responses minimize the client's feelings. Reduction of Risk Potential
NEW QUESTION # 414
Which of the following is a predisposing factor for cancer of the tongue?
- A. tobacco use
- B. sun exposure
- C. obesity
- D. eating sweets
Answer: A
Explanation:
Explanation/Reference:
Explanation:
Tobacco use is a predisposing factor for cancer of the tongue; the other choices are not. Reduction of Risk Potential
NEW QUESTION # 415
A teenage client is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?
- A. kidneys
- B. lungs
- C. liver
- D. adrenal glands
Answer: C
Explanation:
Explanation/Reference:
Explanation:
Acetaminophen is extensively metabolized in the liver. Choices 1, 3, and 4 are incorrect because prolonged use of acetaminophen might result in an increased risk of renal dysfunction, but a single overdose does not precipitate life-threatening problems in the respiratory system, renal system, or adrenal glands. Pharmacological Therapies
NEW QUESTION # 416
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