Nrsng Nclex® Question Of The Day (nursing Podcast For Nclex® Prep And Nursing School)

Answer: C. The patient has no plans to quit smoking Rationale:  The phases of change, such as when a person wants to make a change in lifestyle habits, go through a series that starts with no desire or thought to … Continued The post QOD 32: Precontemplation (Respiratory/Health Promotion and Maintenance) appeared first on NRSNG.

Answer: C.  Inspection, auscultation, percussion, palpation Rationale:  When assessing any other part of the body, the nurse would normally perform the methods of assessment in the order of inspection, palpation, percussion, and then auscultation. However, when assessing the abdomen, the … Continued The post QOD 31: Palpation and Percussion of Abdomen (GI/GU/Health Promotion and Maintenance) appeared first on NRSNG.

Answer: D.  The pads of the fingers Rationale:  When assessing a patient through palpation, the nurse may use different parts of the hand to find differing signs related to the patients condition. The pads of the fingers are best used … Continued The post QOD 30: Palpation (GI/GU/Health Promotion and Maintenance) appeared first on NRSNG.

Answer: C.  There are high expectations of each family member E.  Punishment may involve withdrawal of approval Rationale:  A nurse who works with families may encounter various parenting styles. The authoritarian parenting style is one that is strict and where … Continued The post QOD 28: Authoritarian Parenting Style (OB/Peds/Health Promotion and Maintenance) appeared first on NRSNG.

Answer: A.  There may be step-siblings in the family who do not share a biologic parent B.  The parents come together after a previous divorce or death of a spouse E.  The parents may add another child who becomes a … Continued The post QOD 27: Blended Families (Fundamentals/Health Promotion and Maintenance) appeared first on NRSNG.

Answer: C. Dysphagia Rationale:  Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that causes a decline in respiratory function, including shortness of breath and an inability to cough. The patient is also at a nutritional risk because of muscle … Continued The post QOD 26: Dysphagia in a Patient with ALS (Neuro/Basic Care and Comfort) appeared first on NRSNG.

Answer: C.  “This test checks how much sugar is coating the hemoglobin in your red blood cells; it can tell us your blood sugar levels for the past two months.” Rationale:  The hemoglobin A1C test, also called the glycosylated hemoglobin … Continued The post QOD-25 Hemoglobin A1c and Diabetes (Labs/Health Promotion and Maintenance) appeared first on NRSNG.

Answer: A. mitral valve prolapse. Rationale:  When auscultating heart sounds, the nurse may hear a variety of different sounds; some are normal parts of the heart’s anatomy, while others indicate an abnormality. A systolic click is a high-pitched sound that is … Continued The post QOD-24 Heart Sounds(Cardiac/Health Promotion and Maintenance) appeared first on NRSNG.

Answer: A. The patient will be able to dress himself appropriately B. The patient will demonstrate how to use adaptive equipment effectively C. The patient will be able to cope with having someone help with dressing tasks Rationale:  A patient … Continued The post QOD-23 Self-care Deficit in a Stroke Patient (Neuro/Health Promotion and Maintenance) appeared first on NRSNG.

Answer: A.  Stated doubts about an ability to survive alone B. Expressed feelings of abandonment or loneliness C. Feelings of uselessness Rationale:  A patient who suffers from social isolation may feel lonely, he may have few friends, or he may suffer from … Continued The post QOD-22 Social Isolation (Mental Health/Health Promotion and Maintenance) appeared first on NRSNG.

Answer: D. Supine with the legs elevated Rationale:  The most appropriate position for the patient in shock is to have him lie supine with the legs elevated. This position promotes venous return from the lower extremities so that blood can … Continued The post QOD 21: Hypovolemic Shock and Proper Position (Cardiac/Health Promotion and Maintenance) appeared first on NRSNG.

Answer: C.  Percutaneous electrical nerve stimulation Rationale:  Diabetic peripheral neuropathy can cause severe pain and nerve dysfunction in the extremities. The patient with this condition may need pain management methods, which could be through medications or through non-pharmacological methods, such … Continued The post QOD 20: Diabetic Peripheral Neuropathy (Neuro/Basic Care and Comfort) appeared first on NRSNG.

Answer: C. The patient will more likely desire change after connecting with another person Rationale:  Change is necessary when a patient is exhibiting behaviors that are harmful to himself or others. Change can be implemented in many ways, but personal … Continued The post QOD 19: Method of Change (Mental Health/Health Promotion and Maintenance) appeared first on NRSNG.

Answer: B. Art therapy C. Watching a movie D. Blowing bubbles Rationale:  A preschool-age child is at a different developmental age when compared to an infant or a school-age child. A child who is in preschool does not understand some … Continued The post QOD 16: Comforting a Preschool-Age Child (OB/Peds/Basic Care and Comfort) appeared first on NRSNG.

Answer: B. Problems within parents’ marriage/relationship C. Speech difficulties D. Boredom   Rationale:  It is normal and common for a 3-year-old child to have tantrums. Children of this age may have difficulty communicating, and tantrums are a method of expressing … Continued The post QOD 15 Tantrums in a 3-year-old (OB/Peds/ Health Promotion and Maintenance) appeared first on NRSNG.

Answer: B.   benign tumors on the pituitary that cause excess secretion of growth hormone. Rationale:  A patient with acromegaly produces too much growth hormone as a result of small tumors that develop on the pituitary gland. The condition causes … Continued The post QOD 14: Acromegaly and Pituitary Gland Tumor (Endocrine/Metabolic/Health Promotion and Maintenance) appeared first on NRSNG.

Answer: D. Decreased cardiac contractility Rationale:  A patient with a cardiac condition is at risk of developing cardiogenic shock when the heart has been damaged enough that it is unable to effectively pump blood to perfuse vital organs. The patient … Continued The post QOD 13: Effects of Blood Pressure and Pulse on Cardiogenic Shock (Cardiac/Health Promotion and Maintenance) appeared first on NRSNG.

Answer: A.  The patient has a Glasgow Coma Score of 8 Rationale:  A spinal cord injury produces paresthesia below the level of the injury; paraplegia indicates an injury in which the patient cannot move the lower extremities, while quadriplegia is … Continued The post QOD 11: Breathing Difficulties in a Patient with Spinal Cord Injury (Neuro/Basic Care and Comfort appeared first on NRSNG.

Answer: C.  Loss of muscle control Rationale:  A patient who has suffered a traumatic brain injury is at high risk of developing sleep problems. Narcolepsy is a condition in which a person experiences excessive daytime sleepiness. He may also develop … Continued The post QOD10: Narcolepsy in a Traumatic Brain Injury Patient (Neurology/Basic Care and Comfort) appeared first on NRSNG.

Answer: A.  Eating breakfast Rationale:  Myasthenia gravis is an autoimmune disorder characterized by weakness of skeletal muscles and fatigue with exertion. The patient would most likely have difficulties with performing activities of daily living that require exertion or use of … Continued The post QOD9: Activities of Daily Living in a Patient with Myasthenia Gravis (Neurology/Basic Care and Comfort) appeared first on NRSNG.