Prepare for the NCLEX National Council Licensure Examination(NCLEX-PN) exam with our extensive collection of questions and answers. These practice Q&A are updated according to the latest syllabus, providing you with the tools needed to review and test your knowledge.
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A violation of a patient's confidentiality occurs if two nurses are discussing client information in which of the following scenarios?
Hallway discussions should not occur, because you do not who is listening, even though it may be a professional discussion.
A 17-year-old female was raped by a young man in her neighborhood. She is in the Emergency Department for evaluation and tests. After the procedure is completed, a rape crisis counselor (nurse specialist) talks to the client in a conference room regarding the rape. Implementing counseling by the nurse specialist for the raped victim represents:
Choice 2 is part of the Crisis Intervention Model. Counseling by a nurse specialist at the time of a stressful
event (rape) can strengthen the client's coping. A nurse specialist in rape crisis intervention is educationally
prepared in counseling and crisis intervention specific to rape victims.Coordinated Care
The nurse should make which of the following responses when questioned by a client about the role of leptin in the body?
Leptin (recessive obesity gene---protein hormone) is expressed in fat cell coding for the protein that reacts to the percentage of fat cells in the body. Leptin is associated with increased energy expenditure and decreased food intake via hypothalamic control. Obese clients might have insensitivity or resistance to the effects of leptin. Leptin can affect other body hormones such as insulin. Genetic factors include leptin, uncoupling proteins, and the amount of brown/white fat in the body.Physiological Adaptation
A nurse reviewed the arterial blood gas reading of a 25 year-old male. The nurse should be able to conclude the patient is experiencing which of the following conditions?
Bicarbonate ion-25 mEq/l
PH-7.41
PaCO2-29 mmHg
PaO2-54 mmHg
(FiO2)-.22
Respiratory alkalosis-elevated pH, and low carbon dioxide levels, no compensation noted.
A client goes to the Emergency Department with acute respiratory distress and the following arterial blood gases (ABGs): pH 7.35, PCO2 40 mmHg, PO2 63mmHg, HCO3 23, and oxygenation saturation ( SaO2) 93%. Which of the following represents the best analysis of the etiology of these ABGs?
A combined low PO2 and lowSaO2 indicates hypoxia. The pH, PCO2, and HCO3 are normal. ABGs are not
necessarily altered in TB or pleural effusion. Depending on the degree of the pneumonia, the PO2 and PCO2
might be low because hypoxia stimulates hyperventilation.Physiological Adaptation
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