Digging deeper about the NCLEX

One of your most awaited days as an aspiring nurse is coming. You are now scheduled to take the NCLEX in a couple of days. Both excited and anxious, you just can’t wait for the time when you can finally call yourself a Registered Nurse and attach the “RN” to your name. However, there is a problem. You know close to nothing about what it’s like to take the NCLEX, it being your first time. What are the questions like? Will it be like the exams you have experienced in nursing school? Or will it be a whole lot different? The NCLEX actually includes questions that are organized along four major Client Needs Categories, specifically: Safe and Effective Care Environment; Health Promotion and Maintenance; Psychosocial Integrity; and Physiological Integrity.   Safe and Effective Care Environment Safe and Effective Care Environment, which is the first of the four major client needs categories, includes two concepts: Management of Care and Safety and Infection Control. Management of Care accounts for 17-23 percent of questions on the NCLEX-RN exam. Some of the nursing actions included in this subcategory are Advanced Directives, Advocacy, Case Management, Client Rights, Concepts of Management, Confidentiality, Consultation, Continuity of Care, Quality Improvement, Delegation, Establishing Priorities, Ethical Practice, Informed Consent, Legal Responsibilities, Referrals, and Supervision. Safety and Infection Control accounts for 9-15 percent of exam questions. Nursing actions include Accident Prevention, Error Prevention, Hazardous Materials, Surgical Asepsis, Standard Precautions, and Use of Restraints.   Health Promotion and Maintenance                 The second category includes questions that account for 6-12 percent of the exam. Nursing actions tested here include the Aging Process,...

NCLEX RN Review for Health Promotion and Maintenance (ANSWERS & RATIONALE)

These answers are one of the NCLEX prep samples for Health Promotion and Maintenance. Click here to view the questions. If you want to answer all of our NCLEX questions interactively then be one of our member today. Click here to join. It’s Free. 1. D.  Clients should understand it is important to increase their fluid intake to at least 2000 ml each day. The increased fluid will assist in urate excretion and minimize urate precipitation in the urinary tract. Certain meats, such as organ meats and shellfish, are high in purine and should be restricted. 2. C. It is easier for infectious agents to travel from the nasopharyngeal area to the middle ear in younger than in older children because the eustachian tube is straighter when they are younger. 3. B. The test is done primarily to determine fetal trisomy 21 (Down’s syndrome) in pregnant women over 35 years of age. If the fetus is defective and the woman or couple do not wish to have an elective abortion, the procedure would probably not be performed due to its potential risk (though small) to the woman. Answer (C) is not correct as Ashkenazic Jews have a high incidence of Tay-Sachs disease. Although more difficult, amniocentesis may be performed on women carrying twins. 4. A. Liquids are not started until bowel sounds have returned; if there is no motility in the bowel, blockage could result. Clear liquid diets are started as soon as bowel sounds return. Diet protocol following major surgery begins with clear liquid to full liquid to soft to regular diet as tolerated. 5. A. Weights must...

NCLEX RN Review for Health Promotion and Maintenance

These questions are one of the NCLEX prep samples for Health Promotion and Maintenance. This post has a 15 set of questions with the accompanying answers and rationale located at the bottom. If you want to answer all of our NCLEX questions interactively then be one of our member today. Click here to join. It’s Free. 1. Which of the following statements indicates that a client with gout understands his discharge instructions? a. “I will restrict meats and fish in my diet.” b. “I will restrict foods high in sodium.” c. “I will report any side effects of aspirin.” d. “I will increase my intake of fluids.” 2. The nurse explains to the mother of a 1 year old that the child is more likely to have otitis media than her 13-year-old brother because a. Her hands are often contaminated when she crawls on the floor. b. She is not old enough to have learned how to “clear” her nasal passages. c. The angle of the child’s eustachian tube is straighter than her brother’s. d. She is still “cutting” new teeth. 3. Amniocentesis would not be performed on a woman if the nurse assesses that she a. Has a family history of genetic disorders. b. Will not consider an elective abortion. c. Is an Ashkenazic Jew. d. Is carrying twins. 4. Which of the following statements regarding postoperative nutrition is correct? a. Clear liquids are started after bowel sounds are assessed following major surgical procedures. b. Clear liquid diets are provided for 2-3 days following minor surgical procedures. c. Soft diets are initiated the first postoperative day for major surgical conditions. d. Clients...

NCLEX Review for Health Promotion and Maintenance (ANSWERS & RATIONALE)

These answers are one of the NCLEX prep samples for Health Promotion and Maintenance. Click here to view the questions. If you want to answer all of our NCLEX questions interactively then be one of our member today. Click here to join. It’s Free. 1. B. One of the two indicators that the goal for implementing new coping patterns has been met is a willingness and ability to resume self-care responsibilities. Statement B shows that the client is taking care of their wig, a new self-care responsibility. 2. C. The client lost a limb. The most appropriate secondary cause is loss of body part. This will be a chronic condition, not necessarily a disease, but the most immediate cause of the body image disturbance is loss of body part. The body part was lost because of trauma, but using loss of body part is much more specific and immediately communicates to all other nurses the cause of the body image disturbance. There will be loss of body function as well that relates back to the loss of the body part. 3. D. Statement D is the only statement that reflects a distorted image of the body. Clients with anorexia nervosa look in the mirror and see someone a lot heavier than they really are. They cannot see that they are too thin. 4. C. The major defining characteristic of body image disturbance is verbal or nonverbal negative responses to actual or perceived changes in structure and/or function of the body. Asking how the client feels about their disability will give them a chance to assess whether there is a...

NCLEX Review for Health Promotion and Maintenance

These questions are one of the NCLEX prep samples for Health Promotion and Maintenance. This post has a 25 set of questions with the accompanying answers and rationale located at the bottom. If you want to answer all of our NCLEX questions interactively then be one of our member today. Click here to join. It’s Free. 1. Which of the following statements, if made by a male cancer patient with hair loss secondary to chemotherapy, indicates the goal for new coping patterns is being met? a. I think I’ll get some new barrettes for my hair b. I washed my wig today c. I asked my mom to bring my shampoo d. I’m thinking about changing my hair color 2. A client has experienced a traumatic amputation and subsequent body image disturbance. In the record, nurse Janine documents the nursing diagnosis of body image disturbance related to changes in appearance secondary to: a. chronic disease b. severe trauma c. loss of body part d. loss of body function 3. Which of the following statements, when made by a client with anorexia nervosa, would indicate body image distortion instead of body image dissatisfaction? a. I don’t like how my body looks b. I wish I looked like my sister c. I’m sad I can’t wear halter tops d. I am so overweight 4. Which of the following questions, when asked by nurse Jessica, assesses for the major defining characteristic of disturbed body image? a. How do you feel about this disability? b. How would you describe your usual mood? c. How does your family feel about your illness? d. Do...

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