Review Practice Questions

Saunder's Comprehensive NCLEX Review Practice Questions Which teaching method is most effective when providing instruction to members of special populations?

• Teach-back
• video instruction
• written materials
• verbal explanation - ANSWER - 1. Teach-back

Rationale: When providing education to members of special populations, return

explanation and demonstration (teach-back) of are particular importance to ensure safety and mutual understanding. This method is the most reliable in confirming the client understands the instructions.Which health concerns should the nurse be aware of as risk factors when caring for

clients of African American descent? Select all that apply:

• cancer
• obesity
• hypertension
• heart disease
• hypothyroidism
• diabetes mellitus - ANSWER - 1, 2, 3, 4, 6

Rationale: obesity, diabetes mellitus, hypertension, heart disease, asthma, and

cancer are prevalent among African Americans. 1 / 4

The nurse is planning care for a client of Native Hawaiian descent who recently had a baby. The nurse develops a teaching plan and includes info about which measure that's related to a newborn complication within this ethnic group?

• safe sleeping
• car seat safety
• breast-feeding
• baby-proofing - ANSWER - 1. Safe sleeping

Rationale: The native Hawaiian population has a disproportionately higher rate of infant mortality compared with other ethnic groups. Sudden Infant Death Syndrome (SIDS) is a major cause of infant mortality. Safe sleeping is an important measure to prevent this newborn complication.The nurse is planning care for an assigned client. The nurse should include info in the plan of care about the prevention of HIV for which individuals specifically at risk?

• lesbian persons
• men-who-have-sex-with-men (MSM)
• women-who-have-sex-with-women (WSW)
• Female-To-Male (FTM) transgender persons - ANSWER - 2.

MSM

Rationale: MSM (men who have sex with men) are at a higher risk for HIV and

AIDS.Which therapeutic communication technique is most helpful when working with transgender persons?

• using open-ended questions
• using their first name to address them 2 / 4

• using pronouns associated with birth sex
• anticipating the client's needs and making suggestions - ANSWER -
• Using open-ended questions

Rationale: The use of open-ended questions is the most helpful in communicating

with transgender persons because it assists in refraining from judgment and allows the client the opportunity to express their thoughts and feelings.Which special population should be targeted for breast cancer screening by way of

mammography? Select all that apply:

• male-to-female (MTF)
• female-to-male (FTM)
• men-who-have-sex-with-men (MSM)
• women-who-have-sex-with-men (WSM)
• women-who-have-sex-with-women (WSW) - ANSWER - 1,

2, 4, 5

Rationale: Transgender persons who have undergone sexual reassignment surgery

should have the respective preventive screenings. WSW and WSM should also have screenings.The nurse is volunteering with an outreach program to provide basic healthcare for homeless people. Which finding, if noted, should be addressed first?

1. BP 154/72

• visual acuity of 20/200 in both eyes
• random blood glucose level of 206
• complaints of pain associated with numbness and tingling in both feet -

ANSWER - 4. complaints of pain associated with numbness and tingling in both feet Rationale: With this population, the complaints of pain associated with numbness and tingling should be addressed first. If the client perceives value to the service 3 / 4

provided, they will be likely to provide follow-up care. While the bp, blood glucose, and vision are concerning, the client's stated concern should be addressed first.The nurse is preparing discharge resources for a client being discharged to the homeless shelter. When looking at the discharge medication reconciliation form, the nurse determines there is a need for follow-up if which medication was prescribed?

• Glipizide
• Lisinopril
• Metformin
• Beclomethasone - ANSWER - 1. Glipizide

Rationale: Glipizide is an oral hypoglycemic medication and is classified as a

sulfonylurea. A major side effect of this medication is hypoglycemia, which is a safety risk to the homeless population. Lisinopril is an angiotensin-converting enzyme inhibitor. Although there are side effects that should be included in discharge instructions, there is less of a threat to safety with this medication and the benefits to it are important. Metformin is an oral biguanide and is used for type

• diabetes mellitus. Hypoglycemia is less of a concern with this medication

compared with other oral hypoglycemics. Beclomethasone is an inhaled corticosteroid used for obstructive lung disease, and although there are side effects the client should know about, there is not a particular safety risk associated with this medication for the homeless person.The nurse is completing the admission assessment for 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. the history
• / 4