Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions - Part 95

1. If a client is suffering from thyroid storm, the PN can expect to find on assessment:

A) tachycardia and hyperthermia.
B) bradycardia and hypothermia.
C) a large goiter.
D) a calm, quiet client.

2. The best nursing diagnosis for a client with newly diagnosed Diabetes Mellitus is:

A) Impaired Skin Integrity.
B) Knowledge Deficit: New Diabetes Diagnosis.
C) Alteration in Nutrition: More than Body Requirements.
D) Fluid Volume Deficit.

3. After group therapy, the female victim of intimatepartner violence confides to the nurse that she does not feel in any immediate danger. Which of the following statements about victims of domestic violence is true?

A) Victims of domestic violence are often the best predictors of their risk of harm.
B) Victims of domestic violence often overestimate their safety risk.
C) Victims of domestic violence are typically in a state of denial.
D) Victims of domestic violence know that keeping peace with their partner is the best method of preventing another attack.

4. A 32-year-old female frequently comes to her primary care provider with vague complaints of headache, abdominal pain, and trouble sleeping. In the past, the physician has dutifully prescribed medication, but little else. Which of the following comments by the nurse to the physician is appropriate?

A) 'Often women who are victims of domestic violence suffer vague symptoms such as abdominal pain.'
B) 'Often women become offended if asked about their safety in relationships.'
C) 'It is mandatory that all women be questioned about domestic violence.'
D) 'How would you feel to know that her partner is beating her and you didn - t ask?'

5. A client reports that someone is in the room and trying to kill him. The nurse - s best response is:

A) 'No one is in your room. Let - s get you more medicine.'
B) 'I do not see anyone, but you seem to be very frightened.'
C) 'No one can hurt you here.'
D) 'Just tell the person to go away.'

1. Right Answer: A
Explanation: In thyroid storm, there is too much thyroxine, causing the client to go faster. Atrial fibrillation and palpitations are also frequently seen. Choices 2, 3, and 4 are associated with hypothyroidism. Physiological Adaptation

2. Right Answer: B
Explanation: Newly diagnosed diabetics need to learn about their disease, medications, glucose testing, possibly insulin injections, foot care, sick-day plans, and so forth.Choices 1 and 4 are diagnoses to prevent, but no evidence suggests that they exist at this point. Diabetics might have more or less nutrition than body requirements type II is likely to be more, but type I is likely to be less. Physiological Adaptation

3. Right Answer: A
Explanation: Victims of domestic violence are often correct at predicting their risk of harm. However, the nurse should ensure that the client is expressing herself authentically and is not trying to convince the nurse that there is no immediate danger. Further, proper authorities, such as the police, should be alerted to this reportable offense. Psychosocial Integrity

4. Right Answer: A
Explanation: There is a correlation between vague symptoms, such as abdominal pain, and battered syndrome. The astute clinician should question any woman who presents with suspicious symptoms such as these. Rarely are women offended by a properly worded question, such as, 'Do you feel safe in your present relationship?'Studies show an increase in case finding when such questions are asked. It is not mandatory that all women are assessed for violence, but it is prudent that all persons new to a clinician be assessed by at least the one question noted previously. Castigating or shaming the physician typically does not improve client outcomes and might make for a difficult working environment for the nurse. Tactless comments, like the one in Choice 4, are not collegial and should be avoided.Psychosocial Integrity

5. Right Answer: B
Explanation: It is important to acknowledges the clients fear. The other responses deny the clients perceptions. Psychosocial Integrity

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