Which psychological or personality factor is likely to predispose an i

NCLEX-PN Free Practice Questions

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Question 1 of 5.

Which psychological or personality factor is likely to predispose an individual to medication abuse?

A. Low self-esteem and unresolved rage

B. Desire to inflict pain upon one's self

C. Dependent personality disorder

D. Antisocial personality disorder

Explanation: Low self-esteem and repressed rage as well as depression can predispose an individual to search for solace in addictive medications. Usually, medications are used to minimize or blot out pain, rather than inflict additional pain. Personality disorders don't predispose a client to medication abuse; however, personality disorders, especially the antisocial ones, may be intensified by abuse.

Question 2 of 5.

The nurse is caring for an adult who is severely depressed. Which behavior by the client indicates improvement in his condition?

A. The client stays by himself and does not bother the other clients.

B. The client states, 'I know the answer to my problems now.'

C. The client gives the nurse a small book and says, 'Thank you for all your help.'

D. The client appears at breakfast with a clean shirt and well-groomed hair.

Explanation: Improved self-care, such as grooming and dressing, indicates reduced depressive symptoms and increased engagement in daily activities.

Question 3 of 5.

The nurse is caring for an older adult client who has been on bed rest for two weeks because she has had the flu. The nurse should carefully observe the client for which possible complications? Select all that apply.

A. Muscle atrophy

B. Joint contractures

C. Urinary retention

D. Constipation

E. Footdrop

F. Wound infection

Explanation: Prolonged bed rest increases risks of muscle atrophy, joint contractures, urinary retention, constipation, and footdrop due to immobility.

Question 4 of 5.

An adult who is receiving cancer chemotherapy asks the nurse if her fatigue has anything to do with the chemotherapy. What should the nurse include when responding to this client?

A. Chemotherapy lowers the number of white blood cells in the body causing fatigue.

B. The stress of undergoing chemotherapy is likely to cause fatigue.

C. Depression related to the diagnosis of cancer is a major contributor to fatigue.

D. Chemotherapy decreases the number of red blood cells and causes fatigue.

Explanation: Chemotherapy often causes anemia by reducing red blood cells, leading to fatigue, a common side effect.

Question 5 of 5.

An adult is admitted with arteriosclerosis obliterans. Which finding would the nurse most expect to see in this client?

A. Legs are swollen.

B. Blood pressure is 110/72.

C. Hands are painful when exposed to cold.

D. Legs are cool to the touch.

Explanation: Arteriosclerosis obliterans reduces arterial blood flow, causing cool extremities, especially in the legs. Swelling is more related to venous issues, cold-induced hand pain suggests Raynaud's, and BP is unrelated.