Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A male client tells the nurse that he does not want the female assistive personnel (AP) involved in his care.
Which of the following statements should the nurse give?
A. "Don't you trust a female AP assigned to your care?".
Choice A is not the correct answer because it can be perceived as confrontational and may make the client feel uncomfortable.
B. "I understand your request to have only male staff members attend to your care.".
“I understand your request to have only male staff members attend to your care.” This response acknowledges the client’s request and shows that the nurse is willing to listen to his concerns.
C. "It's not appropriate to make such a request. All staff members are trained to provide professional care regardless of gender.".
Choice C is not the correct answer because it dismisses the client’s request and may make him feel unheard.
D. "I'll arrange for a male AP to do your personal care since you asked for it.".
Choice D is not the correct answer because it implies that the nurse will immediately comply with the client’s request without further discussion or consideration of other options.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Pharmacology Endocrine and Hematology Proctored Exam. Take the full exam now
Full Explanation
“I understand your request to have only male staff members attend to your care.” This response acknowledges the client’s request and shows that the nurse is willing to listen to his concerns.
Choice A is not the correct answer because it can be perceived as confrontational and may make the client feel uncomfortable.
Choice C is not the correct answer because it dismisses the client’s request and may make him feel unheard.
Choice D is not the correct answer because it implies that the nurse will immediately comply with the client’s request without further discussion or consideration of other options.
Similar Questions
A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe.
Which of the following instructions should the nurse provide?
A. Inject air into the regular insulin first.
“Inject air into the regular insulin first.” When mixing regular insulin and NPH insulin in the same syringe, the nurse should instruct the client to inject air into the NPH insulin vial first, then inject air into the regular insulin vial. After that, the client should draw up the regular insulin into the syringe first, followed by the NPH insulin.
B. Shake the NPH insulin until it is well mixed.
Choice B is not correct because NPH insulin should not be shaken vigorously as it can damage the insulin molecules.
C. Draw up the NPH insulin into the syringe first.
Choice C is not correct because the regular insulin should be drawn up into the syringe first.
D. Discard regular insulin if it appears cloudy.
Choice D is not correct because regular insulin is a clear solution and should not appear cloudy.
Full Explanation
“Inject air into the regular insulin first.” When mixing regular insulin and NPH insulin in the same syringe, the nurse should instruct the client to inject air into the NPH insulin vial first, then inject air into the regular insulin vial.
After that, the client should draw up the regular insulin into the syringe first, followed by the NPH insulin.
Choice B is not correct because NPH insulin should not be shaken vigorously as it can damage the insulin molecules.
Choice C is not correct because the regular insulin should be drawn up into the syringe first.
Choice D is not correct because regular insulin is a clear solution and should not appear cloudy.
A nurse is reviewing laboratory data from a client who has a pulmonary embolism and is receiving IV heparin.
Which of the following findings should the nurse report to the provider?
A. Patient's platelets 100,000.
“Patient’s platelets 100,000.” A nurse should report a low platelet count to the provider because it may indicate heparin-induced thrombocytopenia (HIT), a serious complication of heparin therapy.
B. Prothrombin time (PT) 12 seconds.
Choice B is not correct because a Prothrombin time (PT) of 12 seconds is within the normal range and does not need to be reported.
C. Thrombin time (TT) 55 seconds.
Choice C is not correct because Thrombin time (TT) is not typically used to monitor heparin therapy.
D. Hematocrit 35%.
Choice D is not correct because a Hematocrit of 35% is within the normal range and does not need to be reported.
Full Explanation
“Patient’s platelets 100,000.” A nurse should report a low platelet count to the provider because it may indicate heparin-induced thrombocytopenia (HIT), a serious complication of heparin therapy.
Choice B is not correct because a Prothrombin time (PT) of 12 seconds is within the normal range and does not need to be reported.
Choice C is not correct because Thrombin time (TT) is not typically used to monitor heparin therapy.
Choice D is not correct because a Hematocrit of 35% is within the normal range and does not need to be reported.
A nurse is reinforcing discharge instructions for a client who has asthma and is about to start taking theophylline.
The nurse should instruct the client to monitor which of the following findings is an adverse effect of the medication.
A. Drowsiness.
Choice A is not correct because drowsiness is not a common side effect of theophylline.
B. Constipation.
Choice B is not correct because constipation is not a common side effect of theophylline.
C. Tachycardia.
“Tachycardia.” Theophylline can cause a number of side effects, including tachycardia (fast heart rate) 1. The nurse should instruct the client to monitor for this adverse effect and report it to their healthcare provider if it occurs.
D. None of the above.
Choice D is not correct because tachycardia is a known adverse effect of theophylline.
Full Explanation
“Tachycardia.” Theophylline can cause a number of side effects, including tachycardia (fast heart rate) 1.
The nurse should instruct the client to monitor for this adverse effect and report it to their healthcare provider if it occurs.
Choice A is not correct because drowsiness is not a common side effect of theophylline.
Choice B is not correct because constipation is not a common side effect of theophylline.
Choice D is not correct because tachycardia is a known adverse effect of theophylline.
