NCLEX Updated NCLEX-PN Exam Questions and Answers by jace

Using a direct approach is best when asking about suspected abuse. Clients are reluctant to report abuse

because of shame and fear of reprisal.Psychosocial Integrity

Pneumococcal vaccine should be administered as a supplemental vaccine. Hepatitis A vaccine is for travelers

and individuals with chronic liver disease. The Lyme disease vaccine is for people between the ages of 15 and

70 who are at risk for Lyme disease (transmitted by ticks primarily). The typhoid vaccine is for workers in

microbiology laboratories who frequently work with Salmonella typhi.Health Promotion and Maintenance

A situational crisis is an unexpected, unplanned event, such as the death of a spouse. Option 1 is a normal

maturational crisis; Choices 2 and 3 are not recognized crisis states.Coordinated Care

Alkylating agents are highly reactive chemicals that introduce alkyl radicals into biologically active molecules

and thereby prevent their proper functioning, replication, and transcription. Choice 2 is incorrect because alkylating

agents have numerous side effects including alopecia, nausea, vomiting, and myelosuppression. Choice 3 is incorrect because nitrogen mustards have a broad spectrum of activity against chronic lymphocytic leukemia, non-Hodgkin’s lymphoma, and breast and ovarian cancer, but they are effective chemotherapeutic agents because of DNA crosslinkage. Choice 4 is incorrect because alkylating agents are non-cell-cycle-specific agents.PharmacologicalTherapies