NCLEX-PN

NCLEX-PN practice questions, page 27 of 29, with answer review and explanations.

Question 131

Fat emulsions are frequently administered as a part of total parenteral nutrition. Which statement is true regarding fat emulsions?

  1. They have a high energy-to-fluid-volume ratio.
  2. Even though hypertonic, they are well tolerated.
  3. They are a basic solution secondary to the addition of sodium hydroxide (NaOH).
  4. The pH is alkaline, making them compatible with most medications.

Question 132

The nurse wishes to decrease a client’s use of denial and increase the client’s expression of feelings. To do this the nurse should:

  1. tell the client to stop using the defense mechanism of denial.
  2. positively reinforce each expression of feelings.
  3. instruct the client to express feelings.
  4. challenge the client each time denial is used.

Question 133

A 57-year-old woman is recently widowed. She states, "I will never be able to learn how to manage the finances. My husband did all of that." Select the nurse’s response that could help raise the clients self-esteem.

  1. "You feel inadequate because you have never learned to balance a checkbook."
  2. "You should have insisted your husband teach you about the finances."
  3. "You are strong and will learn how to manage your finances after awhile."
  4. "Why don’t you take a class in basic finance from the local college?"

Question 134

An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?

  1. knowledge that elder abuse is rare
  2. personal belief that abuse is deserved
  3. lack of developmentally appropriate screening tools
  4. fear of reprisal or further violence if the incident is reported

Question 135

The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?

  1. "How did you get those bruises?"
  2. "Did someone grab you by your arms?"
  3. "Do you fall often?"
  4. "What did you bump against?"