CompTIA
Checkpoint
ISC
HP
Dell
EC-Council
EXIN
Fortinet
ITIL®
Juniper
PMI
Microsoft
VMware
Avaya
Google
Salesforce
Amazon
Palo Alto Networks
Certiport
ISC2
All Vendors
  2. Home
  3. Exams
  4. Test Prep
  5. NCLEX-PN

Free NCLEX-PN Exam Braindumps (page: 13)

Page 13 of 254
PDF with 1015 Questions

Which of the following client groups should the nurse recognize as the fastest-growing segment of the homeless population?

  1. single, adult men
  2. single mothers with 2 or 3 children
  3. runaway adolescents
  4. single, adult women

Answer(s): B

Explanation:

Single mothers with two or three children are the fastest-growing segment of the homeless population. The majority of the children are under the age of five, and the total number of children who are homeless account for more than one-third of the homeless population in the United States.
In the past, single adults were the largest group in the homeless population, with more men than women being homeless.
Runaway adolescents account for another group of homeless children. Many are victims of abuse or long-term family or school problems.



Which of the following strategies should the nurse include when planning care for children of migrant workers?

  1. Delay immunization because of acute illness.
  2. Provide parents with copies of medical records.
  3. Schedule preventive services at acute illness visits.
  4. Stress the importance of using one primary care provider.

Answer(s): B

Explanation:

Migrant workers should be provided with the medical records and immunization records for their children, including growth charts. The parents should also be encouraged to take those records with them to every health care visit, including Emergency Department visits.
It is important to provide immunizations even when the child is there for an acute illness because preventive care is often not obtained.
Preventive services should also be provided, not scheduled, when a child presents for an acute illness. Using a single primary care provider is not an option for most migrant families. The nurse should ask the parents about where they are going next and give them the name, address, and phone numbers of providers there.



A day care center has asked the nurse to provide education for parents regarding safety in the home. What type of preventive care does this represent?

  1. primary
  2. secondary
  3. tertiary
  4. health promotion

Answer(s): A

Explanation:

Primary prevention involves activities that are utilized to promote wellness or prevent illness or injury. There are many dangers in the home for small children. Providing education regarding the need for safety measures to prevent injury in the home is considered primary prevention.
Secondary prevention involves early detection of a disease or illness and quick intervention to aid the client in maintenance of the disease or injury.
Tertiary prevention involves the reduction of a disability and the promotion of the highest level of functioning for a client in relation to his or her disease or injury.
Health promotion is any activity that increases a client’s health and wellness.



A client has just returned from surgery where a femoral-popliteal bypass was performed. The nurse has assessed the client and is unable to feel a pulse at either the dorsalis pedis or the posterior tibial sites of the left foot. The foot feels warm and the color is pink.

What action should the nurse perform next to prevent ischemia?

  1. Notify the physician immediately.
  2. Obtain a Doppler device to check for pulses, and notify the physician if they are still absent.
  3. Wait 30 minutes and recheck the pulses.
  4. Document the finding.

Answer(s): B

Explanation:

The nurse should immediately obtain a Doppler device and recheck the pulses. The dorsalis pedis and posterior tibial can be difficult to assess and might need to be verified with a Doppler. Because the client just had a surgery in which a complication is arterial insufficiency, the client must be monitored carefully.
If the pulses are not found, the nurse should recognize that this is an emergent situation, and the physician must be notified immediately.
If the nurse waits 30 minutes before determining if the pulses can be felt, this could compromise the viability of the client’s foot due to ischemia.
Documenting the findings is important but must be performed after the nurse locates the dorsalis pedis and posterior tibial pulses or any necessary interventions are made.






Post your Comments and Discuss Test Prep NCLEX-PN exam with other Community members:

NCLEX-PN Exam Discussions & Posts