Free Practice Questions for NCLEX NCLEX-PN Exam

Many cultures (including the Hispanic and Native-American cultures) are sometimes hesitant to discuss sexuality. Some Navajos, Hispanics, and Orthodox Jews view the postpartum period as a state of impurity and might seclude women as long as they are bleeding. The seclusion is usually ended with a ritual bath. Many white teenage girls approve of the prevention of pregnancy, and many African-American teenage girls value pregnancy. Many Native-American women believe in the importance of monthly menstruation to maintain physical wellbeing and harmony.Health Promotion and Maintenance

Most women who relinquish their infants at birth have come to that decision with a great deal of love and

pain. They have made plans in advance. The nurse needs to first provide them with opportunities to express their

feelings that might include grief, loneliness, and guilt. A referral for grief counseling might be appropriate if no

other support system exists or the mother indicates that she wants assistance working through her grief. If the

nurse assesses that the grief process is abnormal, a referral is also appropriate. The mother has probably already

made a decision about whether or not she wants to see her baby. The nurse should ask her and make arrangements

for that to happen if the mother requests it. Seeing the baby might aid in the grief process. Until relinquishment

occurs, this is the mother’s baby and she should be allowed to see it as often as she wants. The mother does have

the right to change her mind until final legal arrangements are made. But suggesting this option might lead her to

think that the nurse believes she shouldn’t relinquish her baby.Health Promotion and Maintenance

Migrant workers should be provided with the medical records and immunization records for their children, including growth charts. The parents should also be encouraged to take those records with them to every health care visit, including Emergency Department visits. It is important to provide immunizations even when the child is there for an acute illness because preventive care is often not obtained. Preventive services should also be provided, not scheduled, when a child presents for an acute illness. Using a single primary care provider is not an option for most migrant families. The nurse should ask the parents about where they are going next and give them the name, address, and phone numbers of providers there.Health Promotion and Maintenance

Iron should not be mixed with antacids.Physiological Adaptation

Some studies have shown that ginseng and astragalus have enhanced in vitro sperm motility. Ginseng has long been used in traditional Chinese medicine to enhance male fertility. So, Choice 2 is correct and directly addresses the client’s comments. Many times couples struggling with infertility turn to alternative therapies in desperation. They can be very expensive, and some are harmful. Ginseng should not interfere with any of the traditional fertility treatments and might help the couple feel empowered that they are also doing something on their own. Choice 1 is not true. Choice 3 introduces another alternative therapy. It is true that acupuncture is a traditional Chinese medical therapy and has been shown in several clinical studies to be effective in treating infertility in both women and men. The best response by the nurse should address the therapy the client states she is using. Choice 4 dismisses the client’s attempts to work through her issues and contribute to the solution. One concern is always that more traditional therapies might be ignored, and time might be lost to alternative therapies. But this response causes the client to perceive the nurse as unsupportive and inhibits further discussion and disclosure.Health Promotion and Maintenance

Choice 2 provides support, reassurance, and an opportunity to gain insight into the cause of the anxiety. Choice 1 dismisses the client’s feelings and offers false reassurance. Choices 3 and 4 do not allow the client to discuss his feelings, which he must do in order to understand and resolve the cause of his anxiety.PsychosocialIntegrity

Phenytoin and dextrose will precipitate. Normal saline is used to flush before andafter phenytoin administration.The administration of an antiepileptic drug cannot be delayed to maintain a therapeutic blood level.Pharmacological Therapies

Short-tem stressors impinging on a family include unemployment, being on welfare, the threat of termination, health, hospitalization, convalescence, depression, and suicidal thoughts. Long-term stressors impinging on the family include emotional distance, lack of communication in families (especially within marital relationships), continual geographical movement from one community to the next (so that no stable and sufficient social network is established), a spouse’s minimal participation in family life, and excessive and frequent drinking bouts. Family strengths include the presence of a social support system, interest in and capability to provide child care, motivation for employment, and financial self-sufficiency, self-care beliefs, values, health-seeking behaviors, and realistic goals and limitations.Health Promotion and Maintenance

Nurse advocates work with clients to provide information and assistance is decision-making. The decisions and care that occur from these decisions are based on the right of the client to self-determination and the work of the nurse advocate supports this right.Coordinated Care

Each lower extremity is scored as 18% according to the Rule of Nines.

Intact recent and remote memory indicates that a client is not at risk for falls. Risk for falls can occur in elder clients, and the nurse should assess each client for the possibility of falls and take appropriate actions.Safety andInfection Control

Tachycardia, hypertension, and bronchodilation can all occur with Albuterol.

Dizziness can be a sign of hypotension, that may a contraindication with Morphine.

Thrush may be occurring and the patient may need Nystatin.

The patient experiencing neurovascular changes should have the highest priority. Pain following a TKR is normal, and breakdown over the heels is a gradual process. Moreover, a subacute ankle sprain is almost never a medical emergency.