2022 SAUNDERS CO
e e
MPREHENSIVE REVI e
EW FOR NCLEXONE
e e e e
GRADED A DOWNLO e e
AD TO SCOREA
e e e
1)
TheenurseeiseprovidingedischargeeinstructionsetoeaeChineseeAmericaneclient
egardingeprescribededietaryemodifications.eDuringetheeteachingesession,eth
clientecontinuouslyeturnseawayefrometheenurse.eTheenurseeshouldeimplementew
ichebesteaction?
✓ Answers-
Continueewithetheeinstructions,e
verifyingeclienteunderstanding.
1) AecriticallyeilleHispaniceclientetellsetheenurseethrougheaneinter
preterethatesheeiseRomaneCatholiceandefirmlyebelieveseinetheeritu
alseandetraditionseofetheeCatholicefaith.eBasedeonetheeclient'ses
tatements,ewhicheactionsebyetheenurseedemonstrateeculturalesens
itivityeandespiritual
support?eSelecteallethateapply.(1,2,5)
✓ Answers-
Ensuresethateaecloseerelativees
taysewith
theeclient
, ✓ MakeseaereferraleforeaeCatholicepri
estetoevisitetheeclient
✓ Offersetoeprovideeaemeanseforeprayi
ngetheerosaryeifetheeclientewishes.
2) Whicheclientsehaveeaehigheriskeofeobesityeandediabetesemelli
tus?eSelecteallethateapply.(1,2,4,5)
✓ LatinoeAmericaneMan
✓ NativeeAmericaneman
✓ HispaniceAmericaneman
✓ AfricaneAmericanewoman
3) Theenurseeisepreparingeaeplaneofecareeforeaeclient,eandeiseaskinge
theeclienteaboutereligiousepreferences.eTheenurseeconsiderseth
eeclient'sereligiousepreferenceseasebeingecharacteristiceofeae
Jehovah'seWitnesseifewhicheclientestatementeisemade?
✓ Iecannotehaveeanyefoodecontaining
orePreparedewitheblood."
4) Theeambulatoryecareenurseeisediscussingepreoperativeeprocedure
sewitheaeJapaneseeAmericaneclientewhoeisescheduledeforesurgeryethe
efollowingeweek.eDuringetheediscussion,ethee clientecontinuallyes
mileseandenodsetheehead.eHoweshouldetheenurseeinterpretethisenonve
rbalebehavior?
, ✓ Answers-Reflectingeaeculturalevalue
5) Whenecommunicatingewitheaeclientewhoespeakseaedifferentelangu
age,ewhichebestepracticeeshouldetheenurseeimplement?
✓ Arrangeeforeaneinterpreteretoetr
anslate.
6) Theenurseeeducatoreiseprovidingein-
serviceeeducationetoetheenursingestafferegardingetransculturalen
ursingecare;eaestaffemembereasksetheenurseeeducatoretoeprovideeane
exampleeofetheeconcepteofeacculturation.eTheenurseeeducatoreshou
ldemakeewhichemosteappropriateeresponse?
✓ Answers-
"AepersonewhoemovesefromeChinaetoetheeU
nitedeStatese(U.S.)eandelearnseaboutea
ndeadaptseatoetheecultureeinetheeU.S."
7) AneAsineAmericaneclienteiseexperiencingeaefever.eTheenurseeplanse
careesoethatetheeclientecaneself-
treatetheedisordereusingewhichemethod?
✓ Foodseconsideredetoebeeyin
8) WhichemealetrayeshouldetheenurseedeliveretoeaeclienteofeOrthod
oxeJudaismefaithewhoefollowseaekosherediet?
✓ Sweeteandesourechickenewithericeeandeve
getables,emixedefruit,ejuice.
9) Whicheisetheebestenursingeinterventioneregardingecom
plementaryeandealternativeemedicine?
✓ Educatingetheeclienteaboutetherapie
sethateheeoresheeiseusingeoreiseintere
stedeineusing
10) Aneantihypertensiveemedicationehasebeeneprescribedeforeaecl
ientewithehypertension.eTheeclientetellsetheeclinicenurseethatehee
wouldelikeetoetakeeaneherbalesubstanceetoehelpelowerehisebloodepres
sure.eTheenurseeshouldetakeewhicheaction?
, ✓ Encourageetheeclientetoediscussetheeus
eeofeaneherbalesubstanceewithetheehealt
hecareeprovidere(HCP).
11) Theenurseeeducatoreaskseaestudentetoelistethee5emainecatego
rieseofecomplementaryeandealternativeemedicinee(CAM),edevelopede
byetheeNationaleCentereforeComplementaryeandeAlternativeeMedici
ne.eWhichestatement,eifemadeebyetheenursingestudent,eindicateseae
needeforefurther
teachingeregardingeCAMecategories?
✓ "Magneticetherapyeandemassageet
herapyeareeaefocuseofeCAM."
12) Theenurseehearseaeclientecallingeouteforehelp,ehurriesedownet
heehallwayetoetheeclient'seroom,eandefindsetheeclientelyingeonethee
floor.eTheenurseeperformseaneassessment,eassistsetheeclientebac
ketoebed,enotifiesetheehealthecareeprovidereofetheeincident,eandec
ompleteseaneincidentereport.eWhichestatementeshouldetheenurseedo
cumenteonetheeincidentereport?
✓ Theeclientewasefoundelyingeonetheeflo
or.
13) Aeclienteisebroughtetoetheeemergencyedepartmentebyeemergenc
yemedicaleservicese(EMS)eafterebeingehitebyeaecar.eTheenameeofethee
clienteiseunknown,eandetheeclientehasesustainedeaesevereeheadeinju
ryeandemultipleefractureseandeiseunconscious.eAneemergencyecranio
tomyeiserequired.eRegardingeinformedeconsenteforetheesurgicalepro
cedure,ewhicheis
theebesteaction?
✓ Transportetheevictimetoetheeop
eratingeroomeforesurgery.
14) Theenurseehasejusteassistedeaeclientebacketoebedeaftereaefall.
eTheenurseeandehealthecareeproviderehaveeassessedethee
clienteandeha
veedeterminedethatetheeclienteisenoteinjured.eAfterecompletingeth
eeincidentereport,etheenurseeshouldeimplementewhicheactionenext?
e e
MPREHENSIVE REVI e
EW FOR NCLEXONE
e e e e
GRADED A DOWNLO e e
AD TO SCOREA
e e e
1)
TheenurseeiseprovidingedischargeeinstructionsetoeaeChineseeAmericaneclient
egardingeprescribededietaryemodifications.eDuringetheeteachingesession,eth
clientecontinuouslyeturnseawayefrometheenurse.eTheenurseeshouldeimplementew
ichebesteaction?
✓ Answers-
Continueewithetheeinstructions,e
verifyingeclienteunderstanding.
1) AecriticallyeilleHispaniceclientetellsetheenurseethrougheaneinter
preterethatesheeiseRomaneCatholiceandefirmlyebelieveseinetheeritu
alseandetraditionseofetheeCatholicefaith.eBasedeonetheeclient'ses
tatements,ewhicheactionsebyetheenurseedemonstrateeculturalesens
itivityeandespiritual
support?eSelecteallethateapply.(1,2,5)
✓ Answers-
Ensuresethateaecloseerelativees
taysewith
theeclient
, ✓ MakeseaereferraleforeaeCatholicepri
estetoevisitetheeclient
✓ Offersetoeprovideeaemeanseforeprayi
ngetheerosaryeifetheeclientewishes.
2) Whicheclientsehaveeaehigheriskeofeobesityeandediabetesemelli
tus?eSelecteallethateapply.(1,2,4,5)
✓ LatinoeAmericaneMan
✓ NativeeAmericaneman
✓ HispaniceAmericaneman
✓ AfricaneAmericanewoman
3) Theenurseeisepreparingeaeplaneofecareeforeaeclient,eandeiseaskinge
theeclienteaboutereligiousepreferences.eTheenurseeconsiderseth
eeclient'sereligiousepreferenceseasebeingecharacteristiceofeae
Jehovah'seWitnesseifewhicheclientestatementeisemade?
✓ Iecannotehaveeanyefoodecontaining
orePreparedewitheblood."
4) Theeambulatoryecareenurseeisediscussingepreoperativeeprocedure
sewitheaeJapaneseeAmericaneclientewhoeisescheduledeforesurgeryethe
efollowingeweek.eDuringetheediscussion,ethee clientecontinuallyes
mileseandenodsetheehead.eHoweshouldetheenurseeinterpretethisenonve
rbalebehavior?
, ✓ Answers-Reflectingeaeculturalevalue
5) Whenecommunicatingewitheaeclientewhoespeakseaedifferentelangu
age,ewhichebestepracticeeshouldetheenurseeimplement?
✓ Arrangeeforeaneinterpreteretoetr
anslate.
6) Theenurseeeducatoreiseprovidingein-
serviceeeducationetoetheenursingestafferegardingetransculturalen
ursingecare;eaestaffemembereasksetheenurseeeducatoretoeprovideeane
exampleeofetheeconcepteofeacculturation.eTheenurseeeducatoreshou
ldemakeewhichemosteappropriateeresponse?
✓ Answers-
"AepersonewhoemovesefromeChinaetoetheeU
nitedeStatese(U.S.)eandelearnseaboutea
ndeadaptseatoetheecultureeinetheeU.S."
7) AneAsineAmericaneclienteiseexperiencingeaefever.eTheenurseeplanse
careesoethatetheeclientecaneself-
treatetheedisordereusingewhichemethod?
✓ Foodseconsideredetoebeeyin
8) WhichemealetrayeshouldetheenurseedeliveretoeaeclienteofeOrthod
oxeJudaismefaithewhoefollowseaekosherediet?
✓ Sweeteandesourechickenewithericeeandeve
getables,emixedefruit,ejuice.
9) Whicheisetheebestenursingeinterventioneregardingecom
plementaryeandealternativeemedicine?
✓ Educatingetheeclienteaboutetherapie
sethateheeoresheeiseusingeoreiseintere
stedeineusing
10) Aneantihypertensiveemedicationehasebeeneprescribedeforeaecl
ientewithehypertension.eTheeclientetellsetheeclinicenurseethatehee
wouldelikeetoetakeeaneherbalesubstanceetoehelpelowerehisebloodepres
sure.eTheenurseeshouldetakeewhicheaction?
, ✓ Encourageetheeclientetoediscussetheeus
eeofeaneherbalesubstanceewithetheehealt
hecareeprovidere(HCP).
11) Theenurseeeducatoreaskseaestudentetoelistethee5emainecatego
rieseofecomplementaryeandealternativeemedicinee(CAM),edevelopede
byetheeNationaleCentereforeComplementaryeandeAlternativeeMedici
ne.eWhichestatement,eifemadeebyetheenursingestudent,eindicateseae
needeforefurther
teachingeregardingeCAMecategories?
✓ "Magneticetherapyeandemassageet
herapyeareeaefocuseofeCAM."
12) Theenurseehearseaeclientecallingeouteforehelp,ehurriesedownet
heehallwayetoetheeclient'seroom,eandefindsetheeclientelyingeonethee
floor.eTheenurseeperformseaneassessment,eassistsetheeclientebac
ketoebed,enotifiesetheehealthecareeprovidereofetheeincident,eandec
ompleteseaneincidentereport.eWhichestatementeshouldetheenurseedo
cumenteonetheeincidentereport?
✓ Theeclientewasefoundelyingeonetheeflo
or.
13) Aeclienteisebroughtetoetheeemergencyedepartmentebyeemergenc
yemedicaleservicese(EMS)eafterebeingehitebyeaecar.eTheenameeofethee
clienteiseunknown,eandetheeclientehasesustainedeaesevereeheadeinju
ryeandemultipleefractureseandeiseunconscious.eAneemergencyecranio
tomyeiserequired.eRegardingeinformedeconsenteforetheesurgicalepro
cedure,ewhicheis
theebesteaction?
✓ Transportetheevictimetoetheeop
eratingeroomeforesurgery.
14) Theenurseehasejusteassistedeaeclientebacketoebedeaftereaefall.
eTheenurseeandehealthecareeproviderehaveeassessedethee
clienteandeha
veedeterminedethatetheeclienteisenoteinjured.eAfterecompletingeth
eeincidentereport,etheenurseeshouldeimplementewhicheactionenext?
