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