Patient-Specific Care

Help Questions

NCLEX-PN › Patient-Specific Care

Questions 1 - 10
1

Identify the disorder that presents the following signs and symptoms: numbness, paralysis, loss of vision, or other neurological symptoms after a traumatic or stressful event, without any identifiable medical cause.

Conversion disorder

Bipolar disorder

Stiff person syndrome

Schizophrenia

Explanation

Conversion disorder is typified by numbness, paralysis, loss of vision, or other neurological symptoms after a traumatic or stressful event, without any identifiable medical cause. Schizophrenia, bipolar disorder, and stiff person syndrome all have medically identifiable causes.

2

Identify the disorder that presents the following signs and symptoms: numbness, paralysis, loss of vision, or other neurological symptoms after a traumatic or stressful event, without any identifiable medical cause.

Conversion disorder

Bipolar disorder

Stiff person syndrome

Schizophrenia

Explanation

Conversion disorder is typified by numbness, paralysis, loss of vision, or other neurological symptoms after a traumatic or stressful event, without any identifiable medical cause. Schizophrenia, bipolar disorder, and stiff person syndrome all have medically identifiable causes.

3

How long with the umbilical cord stump generally remain on a newborn?

2-3 weeks

1 week

2-5 days

4 weeks

Explanation

The stump of the umbilical cord will generally remain for 2-3 weeks after delivery. During that time the stump's coloration will change from blue to black as it dries. Eventually it will fall off much like a healing scab, leaving behind the umbilicus (navel).

4

How long with the umbilical cord stump generally remain on a newborn?

2-3 weeks

1 week

2-5 days

4 weeks

Explanation

The stump of the umbilical cord will generally remain for 2-3 weeks after delivery. During that time the stump's coloration will change from blue to black as it dries. Eventually it will fall off much like a healing scab, leaving behind the umbilicus (navel).

5

An emergency room nurse is assessing a 26 year old female patient who frequently uses opium. What symptoms would indicate that she is experiencing withdrawal?

Fatigue, disorientation, and craving

Irritability, tremors, and seizures

Nausea, vomiting, and anxiety

Diaphoresis, seizures, and apathy

Explanation

Anxiety, nausea, and vomiting are common symptoms of opium withdrawal.

6

An emergency room nurse is assessing a 26 year old female patient who frequently uses opium. What symptoms would indicate that she is experiencing withdrawal?

Fatigue, disorientation, and craving

Irritability, tremors, and seizures

Nausea, vomiting, and anxiety

Diaphoresis, seizures, and apathy

Explanation

Anxiety, nausea, and vomiting are common symptoms of opium withdrawal.

7

What is the best approach towards dealing with a delirious patient?

Frequent reorientation to time, place, and name.

Frequent sedation with antipsychotics

Frequent sedation with benzodiazepenes

Frequent 4-point restraints

Explanation

Delirium is an organic dysfunction of the brain usually seen in sick patients post-op. These patients need frequent reorientation to name, time, and place until the delirium resolves. Agitation, confusion, and difficult to control behavior is typically controlled with antipsychotics, however, they are not first line treatment. Restraints should be avoided at all costs.

8

What is the best approach towards dealing with a delirious patient?

Frequent reorientation to time, place, and name.

Frequent sedation with antipsychotics

Frequent sedation with benzodiazepenes

Frequent 4-point restraints

Explanation

Delirium is an organic dysfunction of the brain usually seen in sick patients post-op. These patients need frequent reorientation to name, time, and place until the delirium resolves. Agitation, confusion, and difficult to control behavior is typically controlled with antipsychotics, however, they are not first line treatment. Restraints should be avoided at all costs.

9

The nurse is discussing end-of-life care procedures with an elderly patient who is Buddhist. The nurse knows that the patient will most likely want to incorporate:

Time for meditation

Prayers to provide support and comfort

No autopsy and cremation

No blood transfusions

Explanation

Buddhists will want time for meditation, and may refuse medications that alter awareness. A shrine to Buddha may be placed in the client's room.

10

The nurse is discussing end-of-life care procedures with an elderly patient who is Buddhist. The nurse knows that the patient will most likely want to incorporate:

Time for meditation

Prayers to provide support and comfort

No autopsy and cremation

No blood transfusions

Explanation

Buddhists will want time for meditation, and may refuse medications that alter awareness. A shrine to Buddha may be placed in the client's room.

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