Free NCLEX-PN Exam Braindumps
National Council Licensure Examination(NCLEX-PN) Questions 316–320 (page: 65)

Updated On: 9-Feb-2026

You are working in a pediatric unit of the hospital and caring for a six-year-old boy who is hospitalized with cystic fibrosis and respiratory compromise.

Which developmental task is the challenge for this boy at his age?

  1. To cough, deep breath and improve respiratory status.
  2. To establish industry and self-confidence.
  3. To develop autonomy and self-control.
  4. To develop initiative and a sense of purpose.

Answer(s): D

Explanation:

According to Erik Erikson, a developmental psychologist, the preschool child is challenged with initiative, the development of confidence and a sense of purpose.



A fifty-five-year-old man suffered a left frontal lobe CVA. The patient’s family is not present in the room.

Which of the following should the nurse watch most closely for?

  1. changes in emotion and behavior
  2. monitor loss of hearing
  3. observe appetite and vision deficits
  4. changes in facial muscle control

Answer(s): A

Explanation:

The frontal lobe is responsible for behavior and emotions.



The LPN is helping a patient get out of bed to use the restroom. Which of these actions represents proper ergonomic practice?

  1. Aid the patient in sitting/standing by lifting with the legs and keeping the back straight.
  2. Bend over the patient to get a good grip when sitting the patient up.
  3. Lift the patient into a standing position by using your leg and back muscles.
  4. Let the patient use your body to pull up in a sitting, then standing, position.

Answer(s): A



The intent of the Patient Self Determination Act (PSDA) of 1990 is to ______________.

  1. enhance personal control over legal care decisions
  2. encourage medical treatment decision making prior to need
  3. give one federal standard for living wills and durable powers of attorney
  4. emphasize client education

Answer(s): B

Explanation:

The purpose of the PSDA is to promote decision-making prior to need.
Choices “enhance personal control over legal care decisions”, “give one federal standard for living wills and durable powers of attorney” and “emphasize client education” are incorrect.
The focus of the PSDA is individual health care decision-making. A federal standard for advance directives does not exist. Each state has jurisdiction regarding these policies and protocols.



Client self-determination is the primary focus of ______________.

  1. malpractice insurance.
  2. nursing’s advocacy for clients.
  3. confidentiality.
  4. health care.

Answer(s): B

Explanation:

Advocacy for clients by nurses is the primary focus of the client’s right to autonomy and self-determination. Confidentiality involves the maintenance of the privacy of the client and information regarding him or her. Malpractice insurance is a type of insurance for professionals.



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