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NCLEX NCLEX-RN Exam
National Council Licensure Examination - NCLEX-RN (Page 65 )

Updated On: 9-Feb-2026
Page 65 of 345
PDF with 862 Questions

A 26-year-old client is in a treatment center for aprazolam (Xanax) abuse and continues to manifest moderate levels of anxiety 3 weeks into the rehabilitation program, often requesting medication for "his nerves." Included in the client's plan of care is to identify alternate methods of coping with stress and anxiety other than use of medication. After intervening with assistance in stress reduction techniques, identifying feelings and past coping, the nurse evaluates the outcome as being met if:

  1. Client promises that he will not abuse aprazolam after discharge
  2. Client demonstrates use of exercise or physical activity to handle nervous energy following conflicts of everyday life
  3. Client is able to verbalize effects of substance abuse on the body
  4. Client has remained substance free during hospitalization and is discharged

Answer(s): B

Explanation:

(A) This client response does not address stress reduction techniques. Verbal response focuses only on the problem. (B) Exercise or physical activity is a common strategy or coping technique used to reduce stress and anxiety. (C) Verbalizing effects of substance abuse on the body may help with insight and break through denial, but it is not a strategy to reduce anxiety. (D)Remaining substance-free does indicate motivation to change lifestyle of substance abuse or dependence, and it is not a stress reduction strategy in itself.



A group of nursing students at a local preschool day care center are going to screen each child's fine and gross motor, language, and social skills. The students will use which one of the most widely used screening tests?

  1. Revised Prescreening Developmental Questionnaire
  2. Goodenough Draw-a-Person Screening Test
  3. Denver Development Screening Test
  4. Caldwell Home Inventory

Answer(s): C

Explanation:

(A) The Revised Prescreening Developmental Questionnaire is more age appropriate and offers simplified parent scoring and easier comparison. It is used by parents instead of professionals. (B) The Goodenough Draw-a-Person test is used to assess intellectual development. (C) The Denver Developmental Screening Test is one of the most widely used screening tests. It offers a concise, easy-to-administer, systematic approach to assessing the preschool child. It is widely used because of its reliability and validity. (D) The Caldwell Home Inventory is used to assess the home environment in areas of social, emotional, and cognitive supports.



A group of nursing students at a local preschool day care center are going to screen each child's fine and gross motor, language, and social skills. The students will use which one of the most widely used screening tests?

  1. Revised Prescreening Developmental Questionnaire
  2. Goodenough Draw-a-Person Screening Test
  3. Denver Development Screening Test
  4. Caldwell Home Inventory

Answer(s): C

Explanation:

(A) The Revised Prescreening Developmental Questionnaire is more age appropriate and offers simplified parent scoring and easier comparison. It is used by parents instead of professionals. (B) The Goodenough Draw-a-Person test is used to assess intellectual development. (C) The Denver Developmental Screening Test is one of the most widely used screening tests. It offers a concise, easy-to-administer, systematic approach to assessing the preschool child. It is widely used because of its reliability and validity. (D) The Caldwell Home Inventory is used to assess the home environment in areas of social, emotional, and cognitive supports.



A complication for which the nurse should be alert following a liver biopsy is:

  1. Hepatic coma
  2. Jaundice
  3. Ascites
  4. Shock

Answer(s): D

Explanation:

(A) Hepatic coma may occur in liver disease due to the increased NH3levels, not due to liver biopsy. (B) Jaundice may occur due to increased bilirubin levels, not due to liver biopsy. (C) Ascites would occur due to portal hypertension, not due to liver biopsy. (D) Hemorrhage and shock are the most likely complications after liver biopsy because of already existing bleeding tendencies in the vascular makeup of the liver.



A complication for which the nurse should be alert following a liver biopsy is:

  1. Hepatic coma
  2. Jaundice
  3. Ascites
  4. Shock

Answer(s): D

Explanation:

(A) Hepatic coma may occur in liver disease due to the increased NH3levels, not due to liver biopsy. (B) Jaundice may occur due to increased bilirubin levels, not due to liver biopsy. (C) Ascites would occur due to portal hypertension, not due to liver biopsy. (D) Hemorrhage and shock are the most likely complications after liver biopsy because of already existing bleeding tendencies in the vascular makeup of the liver.






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