Important NCLEX-PN Exam Questions

Answer: A

Explanation:

This is called the sour grapes form of rationalization. Rationalization is an unconscious form of self-deception in which excuses are made. Denial is an unconscious process that ignores the existence of the situation. Projection operates unconsciously and results in blaming behavior. Compensation is an attempt to make up for a perceived weakness by emphasizing a strong point.Psychosocial Integrity

Answer: B

Explanation:

Transference phenomena are intensified in relationships with authority, such as physicians and nurses.

Common positive transferences include desire for affection and gratification of dependency needs. Common

negative transferences include hostility and competitiveness. These transferences must be recognized and

resolved before growth and positive change can be undertaken in the working stage.Psychosocial Integrity

Answer: A

Explanation:

If a woman is sensitized to the Rh factor, it poses a threat to any Rh-positive fetus she delivers. The nurse

needs to provide emotional support to help the family deal with the infant's condition, which might involve a

host of conditions that could lead to death or marked neurological damage. RhoGam is never given to a woman

already sensitized. If not previously sensitized, MICRhoGam (a smaller dose of Rh immune globulin) is given

after an abortion or ectopic pregnancy to prevent sensitization. If not sensitized, RhoGam is given to the woman

within 72 hours of delivery. Rh-immune globulin is never given to the newborn. To determine if sensitization has

occurred, an Indirect Coombs' is drawn on the mother to measure the number of Rh-positive antibodies.Health

Promotion and Maintenance

Answer: D

Explanation:

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

Answer: D

Explanation:

The only skilled service listed is medication instruction. Grocery shopping, house-cleaning services, and

transportation services are all examples of unskilled services offered by volunteer and fee-for-service agencies.

Coordinated Care