Inspirational journeys
Follow the stories of academics and their research expeditions
NCLEX-RN Exam Questions - Part 79
1. A 10-year-old client with a pin in the right femur is immobilized in traction. He is exhibiting behavioral changes including restlessness, difficulty with problem solving, inability to concentrate on activities, and monotony. Which of the following nursing implementations would be most effective in helping him cope with immobility?
A) Providing him with books, challenging puzzles, and games as diversionary activities
B) Allowing him to do as much for himself as he is able, including learning to do pin-site care under supervision
C) Having a volunteer come in to sit with the client and to read him stories
D) Stimulating rest and relaxation by gentle rubbing with lotion and changing the client - s position frequently
2. Following a fracture of the left femur, a client develops symptoms of osteomyelitis. During the acute phase of osteomyelitis, nursing care is directed toward:
A) Moving or turning the client - s left leg carefully to minimize pain and discomfort
B) Allowing the client out of bed only in a wheelchair or gurney to minimize weight bearing on the left leg
C) Providing the client with a high-protein, high-fiber diet to promote healing
D) Instituting physical therapy to ensure restoration of optimal functioning of the leg
3. Several months after antibiotic therapy, a child is readmitted to the hospital with an exacerbation of osteomyelitis, which is now in the chronic stage. The mother appears anxious and asks what she could have done to prevent the exacerbation. The nurses response is based on the knowledge that chronic osteomyelitis:
A) Is caused by poor physical conditions or poor nutrition
B) Often results from unhygienic conditions or an unclean environment
C) Is directly related to sluggish circulation in the affected limb
D) May develop from sinuses in the involved bone that retain infectious material
4. A 5-year-old child was recently diagnosed as having acute lymphoid leukemia. She is hospitalized for additional tests and to begin a course of chemotherapy designed to induce a remission. She is scheduled to have a bone marrow aspiration tomorrow. She has had a bone marrow test previously and is apprehensive about having another. Which of the following interventions will be most effective in relieving her anxiety?
A) Explain what will take place and what she will see, feel, and hear.
B) Remind her that she has had this procedure before and that it is nothing to be afraid of.
C) Tell her not to worry about it, that it will be over soon and she can join her friends in the playroom.
D) Give her a big hug and tell her that she is a big girl now and that she will do just fine.
5. Parents of children receiving chemotherapy should be warned that alopecia is a side effect and that:
A) Children seldom show concern about losing their hair
B) The hair will come out gradually, and the loss will not be noticeable for some time
C) It is best for girls to choose a wig similar to their hair style and color before the hair falls out
D) The parents will soon get used to seeing their children without hair, and it will no longer bother them
A) Providing him with books, challenging puzzles, and games as diversionary activities
B) Allowing him to do as much for himself as he is able, including learning to do pin-site care under supervision
C) Having a volunteer come in to sit with the client and to read him stories
D) Stimulating rest and relaxation by gentle rubbing with lotion and changing the client - s position frequently
2. Following a fracture of the left femur, a client develops symptoms of osteomyelitis. During the acute phase of osteomyelitis, nursing care is directed toward:
A) Moving or turning the client - s left leg carefully to minimize pain and discomfort
B) Allowing the client out of bed only in a wheelchair or gurney to minimize weight bearing on the left leg
C) Providing the client with a high-protein, high-fiber diet to promote healing
D) Instituting physical therapy to ensure restoration of optimal functioning of the leg
3. Several months after antibiotic therapy, a child is readmitted to the hospital with an exacerbation of osteomyelitis, which is now in the chronic stage. The mother appears anxious and asks what she could have done to prevent the exacerbation. The nurses response is based on the knowledge that chronic osteomyelitis:
A) Is caused by poor physical conditions or poor nutrition
B) Often results from unhygienic conditions or an unclean environment
C) Is directly related to sluggish circulation in the affected limb
D) May develop from sinuses in the involved bone that retain infectious material
4. A 5-year-old child was recently diagnosed as having acute lymphoid leukemia. She is hospitalized for additional tests and to begin a course of chemotherapy designed to induce a remission. She is scheduled to have a bone marrow aspiration tomorrow. She has had a bone marrow test previously and is apprehensive about having another. Which of the following interventions will be most effective in relieving her anxiety?
A) Explain what will take place and what she will see, feel, and hear.
B) Remind her that she has had this procedure before and that it is nothing to be afraid of.
C) Tell her not to worry about it, that it will be over soon and she can join her friends in the playroom.
D) Give her a big hug and tell her that she is a big girl now and that she will do just fine.
5. Parents of children receiving chemotherapy should be warned that alopecia is a side effect and that:
A) Children seldom show concern about losing their hair
B) The hair will come out gradually, and the loss will not be noticeable for some time
C) It is best for girls to choose a wig similar to their hair style and color before the hair falls out
D) The parents will soon get used to seeing their children without hair, and it will no longer bother them
1. Right Answer: B
Explanation: (A) These activities could be frustrating for the client if he is having difficulty with problem solving and concentration. (B) Selfcare is usually well received by the child, and it is one of the most useful interventions to help the child cope with immobility. (C) This may be helpful to the client if he has no visitors, but it does little to help him develop coping skills. (D) This will helpto prevent skin irritation or breakdown related to immobility but will not help to prevent behavioral changes related to immobility.
2. Right Answer: A
Explanation: (A) Any movement of his affected limb will cause discomfort to the child. (B) No weight bearing will be allowed until healing is well underway to avoid pathological fractures. (C) The child will be anorexic and may experience vomiting. Diet should be simple and high caloric until appetite returns and symptoms subside. (D)Physical therapy is instituted only after infection subsides.
3. Right Answer: D
Explanation: (A) Poor nutrition and/or poor physical conditions are factors that predispose to the development of osteomyelitis but do not cause it. (B) An unclean or unhygienic environment may predispose to the development of chronic osteomyelitis, but it does not cause an exacerbation of the previous infection. (C) Sluggish circulation through the medullary cavity during acute osteomyelitis may delay healing, but it does not cause the disease to become chronic. (D) Areas of sequestrum may be surrounded by dense bone, become honeycombed with sinuses, and retain infectious organisms for a long time.
4. Right Answer: A
Explanation: (A) Even though the child has had the procedure before, she will probably need additional explanations and emotional support. (B) The fact that the child has had the procedure before and possibly found it painful or uncomfortable may increase, not relieve, her stress. (C) This intervention does nothing to reassure the child and may well prevent her from expressing her feelings. (D) This does not prepare the child for the test and burdens her with the expectation that she act bigger and braver than she is.
5. Right Answer: C
Explanation: (A) Children may become depressed with a changed appearance and not want to look at themselves or have others see them. (B) The hair will fall out in clumps, causing patchy baldness that is quite noticeable and traumatic to children and their families. (C) Having a wig that looks like a girls own hair can be a psychological boost to children and is helpful in fostering later adjustments to hair loss. (D) Families may become accustomed to seeing their children without hair, but the loss is traumatic to them and will continue to bother them.
Explanation: (A) These activities could be frustrating for the client if he is having difficulty with problem solving and concentration. (B) Selfcare is usually well received by the child, and it is one of the most useful interventions to help the child cope with immobility. (C) This may be helpful to the client if he has no visitors, but it does little to help him develop coping skills. (D) This will helpto prevent skin irritation or breakdown related to immobility but will not help to prevent behavioral changes related to immobility.
2. Right Answer: A
Explanation: (A) Any movement of his affected limb will cause discomfort to the child. (B) No weight bearing will be allowed until healing is well underway to avoid pathological fractures. (C) The child will be anorexic and may experience vomiting. Diet should be simple and high caloric until appetite returns and symptoms subside. (D)Physical therapy is instituted only after infection subsides.
3. Right Answer: D
Explanation: (A) Poor nutrition and/or poor physical conditions are factors that predispose to the development of osteomyelitis but do not cause it. (B) An unclean or unhygienic environment may predispose to the development of chronic osteomyelitis, but it does not cause an exacerbation of the previous infection. (C) Sluggish circulation through the medullary cavity during acute osteomyelitis may delay healing, but it does not cause the disease to become chronic. (D) Areas of sequestrum may be surrounded by dense bone, become honeycombed with sinuses, and retain infectious organisms for a long time.
4. Right Answer: A
Explanation: (A) Even though the child has had the procedure before, she will probably need additional explanations and emotional support. (B) The fact that the child has had the procedure before and possibly found it painful or uncomfortable may increase, not relieve, her stress. (C) This intervention does nothing to reassure the child and may well prevent her from expressing her feelings. (D) This does not prepare the child for the test and burdens her with the expectation that she act bigger and braver than she is.
5. Right Answer: C
Explanation: (A) Children may become depressed with a changed appearance and not want to look at themselves or have others see them. (B) The hair will fall out in clumps, causing patchy baldness that is quite noticeable and traumatic to children and their families. (C) Having a wig that looks like a girls own hair can be a psychological boost to children and is helpful in fostering later adjustments to hair loss. (D) Families may become accustomed to seeing their children without hair, but the loss is traumatic to them and will continue to bother them.
80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
Tags:
NCLEX-RN nclex nclex-pn nurse exam nurse 2023 nclex 2023 uworld nurse hospital medical health doctor exam care medicine clinic uniform woman female people professional stethoscope person medic young treatment portrait healthcare technology occupation disease service specialist modern white college university learning physician education patient study intern studying expertise examination student illness diagnosis male tablet health care test background adult document research0 Comments
Categories
Recent posts
Navigating the Organization
Fri, 18 Apr 2025
SHRM Topic - Leadership
Thu, 17 Apr 2025
Leave a comment