Saunders NCLEX-RN Test Bank|| Verified Questions
And Answers Practice Questions with Solutions
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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?
1. lesbian persons
2. men-who-have-sex-with-men (MSM)
3. women-who-have-sex-with-women (WSW)
4. 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?
1. using open-ended questions
2. using their first name to address them
3. using pronouns associated with birth sex
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4. anticipating the client's needs and making suggestions -
Answer-1. 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:
1. male-to-female (MTF)
2. female-to-male (FTM)
3. men-who-have-sex-with-men (MSM)
4. women-who-have-sex-with-men (WSM)
5. 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.
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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
2. visual acuity of 20/200 in both eyes
3. random blood glucose level of 206
4. 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
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?
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1. Glipizide
2. Lisinopril
3. Metformin
4. 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 2 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?