Pass the NCLEX Certification NCLEX-PN Questions and answers with ExamsMirror

Vaccines provide active immunity. Passive immunity comes from antibodies produced in another human or

host. Transplacental immunity comes from passive immunity transferred from mother to infant.Health Promotion

and Maintenance

Flexed toward the side being examined.Health Promotion and Maintenance

Normal saline is 0.9% sodium chloride. This solution has the same osmolarity as blood. Its use does not

cause lysis of cells. Choices 2 and 3 are hypotonic solutions that can cause cell lysis. Choice 4 is an anticoagulant.

Pharmacological Therapies

A simple cold without fever does not preclude vaccination. Choices 1 and 2 are incorrect because pregnant

women and immunocompromised individuals cannot have the MMR vaccine because the rubella component is a

live virus and might cause birth defects and/or disease. Choice 3 is incorrect because the American Academy of

Pediatrics states, “Persons who have experienced anaphylactic reactions to topically or systemically administered

neomycin should not receive measles vaccine.”Pharmacological Therapies

Use of coping skills and verbalization for anger management are personal strategies, not examples of social

support systems. Choices 1, 2, and 3 are all social support systems.Psychosocial Integrity

The client has a right to know the parameters of the nurse-client relationship. If the relationship is to be time

limited, the client should be informed of the number of sessions. If it is open-ended, the termination date is not

known at the outset, and the client should know that this is an issue that is negotiated at a later date.Coordinated

Care

Special hair, skin, and nail care might be required for African-American clients.Psychosocial Integrity

Policies and procedures, though important, are not in the category of ethical and moral issues. The other

options are ethical and moral issues.Safety and Infection Control

They have a high energy-to-fluid-volume ratio. Fat emulsions are formulated in 10%, 20%, and 30%

solutions and supply 1.1, 2, and 3 kilocalories respectively for each milliliter. A milliliter of 5% dextrose only

supplies 0.17 kilocalories. Choices 2, 3, and 4 are incorrect because fat emulsions are essentially pH neutral and

isotonic.Pharmacological Therapies

The purpose of the PSDA is to promote decision-making prior to need. Choices 1, 3 and 4 are incorrect. The

focus of the PSDA is individual health care decision-making. A federal standard for advance directives does not

exist. Each state has jurisdiction regarding these policies and protocols.Coordinated Care

Assessment is the first step. Assessing what the client eats helps the nurse determine a plan for dietary

recommendations based on the ADA and AHA guidelines. Providing the client with a copy of the guidelines is

important but is not the first priority. Based on the client’s wish to reduce her chances of heart disease and

diabetes, a high-protein diet plan might not be appropriate. Providing information to the client related to risk

factors for heart disease and diabetes is important but is not the first step.Health Promotion and Management

Chemotherapy causes damage to cells, and uric acid is a cell metabolite.Physiological Adaptation

By definition, case management is a process of providing for the comprehensive care needs of a client for

continuity of care throughout the health care experience.Coordinated Care

All of the choices are methods of preventing cancer. Sleep is important in maintaining homeostasis, which

helps the body respond to disease. Monthly breast examination can indicate cancer or fibrocystic disease. The

body has a physiological response to stress that can decrease the immune response and increase the risk of

disease.Health Promotion and Management

Small volumes of medication or fluids are delivered and sometimes at slow rates to neonates and pediatric clients. The syringe pump allows precise infusion of small volumes. Choice 1 is incorrect because a syringe pump can be used in almost any setting, but is not generally for adult clients. Choices 2 and 3 are incorrect because large volumes of fluids are not administered with a syringe pump.Pharmacological Therapies