NCLEX-PN Practice Question Answers

NCLEX-PN Practice Question & Answers Chapter 5 Care of Special Populations Priority Concepts Caregiving, Health Disparities

Question 1 Which teaching method is most effective when providing instruction to members of special populations?

• Teach-back
• Video instruction
• Written materials
• Verbal explanation

(- Answer 1

Question 2 Which is most appropriate when communicating with a transgender person?

• Using preferred pronouns
• Using their first name to address them
• Using pronouns associated with birth sex
• Anticipating the client's needs and making suggestions

(- Answer 1

Question 3 The nurse is volunteering with an outreach program to provide basic health care for homeless people. Which finding, if noted, must be addressed first?

• Blood pressure 154/72 mmHg.
• Visual acuity of 20/200 in both eyes
• Random blood glucose level of 206 mg/dL
• Complaints of pain associated with numbness and tingling in both feet

(- Answer 4

Question 4 The nurse is completing the admission assessment of a client who is intellectually disabled. Which part of the client encounter may require more time to complete?

• The history
• The physical assessment
• The nursing plan of care
• The readmission risk assessment

(- Answer 1

Question 5 The nurse working in a correctional facility is caring for a new prisoner. The client asks about health risks associated with living in a prison. How would the nurse respond?

• "Health care is very limited in the prison setting."
• "Living in a prison isn't different than living at home."
• "Living in a prison can predispose a person to different health conditions."
• "Living in a prison is similar to living in a condominium complex or dormitory."

(- Answer 3

Question 6 The nurse is caring for a female client in the emergency department who presents with a complaint of fatigue and shortness of breath. Which physical assessment finding, if noted by the nurse, warrant a need for follow-up?

• Reddened sclera of the eyes
• Dry flaking noted on the scalp
• A reddish-purple mark on the neck
• A scaly rash noted on the elbows and knees

(- Answer 3

Question 7 The nurse working in a community outreach program for foster children plans care knowing that which health conditions are common in this population? Select all that apply.

• Asthma
• Claustrophobia
• Sleep problems
• Bipolar disorder
• Aggressive behavior

• Attention-deficit / hyperactivity disorder (ADHD)

(- Answer 3, 4, 5, 6

Question 8 The nurse assisting in planning care for a military veteran must prioritize nursing interventions targeted at managing which condition, if present, that commonly occurs in this population?

• Hypertension
• Hyperlipidemia
• Substance abuse disorder
• Post-traumatic stress disorder

(- Answer 4

Question 9 The nurse caring for a refugee considers which health care need a priority for this client?

• Access to housing
• Access to clean water
• Access to transportation
• Access to mental health care services

(- Answer 4

Question 10 Which action by the nurse will best facilitate adherence to the treatment regimen for a client with a chronic illness?

• Arranging for home health care
• Focusing on managing a single illness at a time
• Communicating with one provider only to avoid confusion for the client
• Allowing the client to teach a support person about their treatment regimen

(- Answer 1

Chapter 6 Ethical and Legal Issues Priority Concepts Ethics; Health Care Law

Question 1 Which identifies accurate nursing documentation notations? Select all that apply.

• The client slept through the night.
• Abdominal wound dressing is dry and intact without drainage.
• The client seemed angry when awakened for vital sign measurement.
• The client appears to become anxious when it is time for respiratory treatments.
• The client's left lower medial leg wound is 3 cm in length without redness,

drainage, or edema.(- Answer 1, 2, 5

Question 2 The licensed practical nurse (LPN) enters a client's room and finds the client lying on the bathroom floor. The LPN calls the registered nurse, who checks the client thoroughly and then assists the client back into bed. The LPN completes an incident report, and the nursing supervisor and primary health care provider (PHCP) are notified of the incident. Which is the next nursing action regarding the incident?

• Place the incident report in the client's chart.
• Make a copy of the incident report for the PHCP.
• Document a complete entry in the client's record concerning the incident.
• Document in the client's record that an incident report has been completed.

(- Answer 3

Question 3 An unconscious client, bleeding profusely, is brought to the emergency department after a serious accident. Surgery is required immediately to save the client's life.With regard to informed consent for the surgical procedure, which is the best action?

• Call the nursing supervisor to initiate a court order for the surgical procedure.
• Try calling the client's spouse to obtain telephone consent before the surgical

procedure.