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NCLEX NCLEX-RN Exam
National Council Licensure Examination - NCLEX-RN (Page 23 )

Updated On: 12-Jan-2026
Page 23 of 345
PDF with 862 Questions

A 15-year-old client is admitted to the adolescent unit. The nurse recognizes that encouraging a client to speak openly depends on how clearly questions are phrased. Which of the following statements is most desirable in eliciting information from an adolescent client?

  1. "Do you get along well with your family?"
  2. "Do you communicate with your parents?"
  3. "You don't hate your family, do you?"
  4. "What is it like between you and your family?"

Answer(s): D

Explanation:

(A, B) This statement can be answered with a simple yes or no. (C) This statement is asked in a negative manner and therefore has a negative connotation. (D) This statement is open ended and positively stated.



Parents of children receiving chemotherapy should be warned that alopecia is a side effect and that:

  1. Children seldom show concern about losing their hair
  2. The hair will come out gradually, and the loss will not be noticeable for some time
  3. It is best for girls to choose a wig similar to their hair style and color before the hair falls out
  4. The parents will soon get used to seeing their children without hair, and it will no longer bother them

Answer(s): 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 girl's 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.



The nurse caring for a client who has pneumonia, which is caused by a gram-positive bacteria, inspects her sputum. Because the client's pneumonia is caused by a gram-positive bacteria, the nurse experts to find the sputum to be:

  1. Bright red with streaks
  2. Rust colored
  3. Green colored
  4. Pink-tinged and frothy

Answer(s): B

Explanation:

(A) Bright red sputum with streaks is associated with pneumonia caused by gram-negative bacteria, such asKlebsiellapneumonia. (B) Pneumococcal pneumonia, caused by gram-positive bacteria, has a characteristic productive cough with green or rust-colored sputum. (C) Green-colored sputum is more characteristic ofPseudomonasthan of gram-positive bacterial pneumonia. (D) Pink-tinged and frothy sputum is more characteristic of pulmonary edema than of gram-positive bacterial pneumonia.



A 25-year-old outpatient presents with a diagnosis of compulsive personality disorder. His coworkers become annoyed with his rigid, perfectionistic manner and preoccupation with trivial details and schedules. A nursing intervention appropriate for this client would include:

  1. Encouraging him to engage in recreational activities
  2. Avoiding discussion of his annoying behavior
  3. Encouraging the client to set a time schedule and deadlines for himself
  4. Contracting with him for the amount of time he will spend on the compulsive behaviors

Answer(s): D

Explanation:

(A) This answer is incorrect. The client will work hard at the activity instead of enjoying it. (B) This answer is incorrect. The nurse should allow the client to discuss these thoughts, within limits, not to avoid discussing them. (C) This answer is incorrect. The compulsive client tends to control time to excess. It should not be encouraged. (D) This answer is correct. A contract with the client regarding the amount of time that will be spent discussing the compulsive activities is appropriate. Time allotted should be gradually decreased.



A client has ascites, which is caused by:

  1. Decreased plasma proteins
  2. Electrolyte imbalance
  3. Decreased renal function
  4. Portal hypertension

Answer(s): A

Explanation:

(A) A decrease in plasma proteins causes a decrease in intravascular osmotic pressure resulting in leakage of fluid into peritoneal cavity. (B) Fluid and electrolyte imbalance may occur as a result of the ascites. (C) Ascites is a result of hepatic malfunction, not renal malfunction. (D) Portal hypertension causes esophageal varices, not ascites.



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