Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is assisting with teaching a newly licensed nurse about pain.
Which of the following is an example of acute pain?
A. Fibromyalgia.
Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, not acute pain. This choice is incorrect.
B. Surgical incision.
A surgical incision represents an example of acute pain. Acute pain typically has a sudden onset and is time-limited, often resulting from tissue injury or a medical procedure. This choice is correct.
C. Peripheral neuropathy.
Peripheral neuropathy is a chronic condition characterized by nerve damage and is associated with chronic pain, not acute pain. This choice is incorrect.
D. Rheumatoid arthritis.
Rheumatoid arthritis is a chronic autoimmune disease that can cause chronic joint pain and inflammation, not acute pain. This choice is incorrect.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom T1 PM Summer 2023 Proctored Exam 5. Take the full exam now
Similar Questions
A nurse is preparing to administer cefotaxime 100 mg IM to a client.
How many grams (g) should the nurse plan to administer?
A. 10 g.
Administering 10 grams (g) of cefotaxime 100 mg IM is an excessive dose. The correct calculation for administering 100 mg would be 0.1 g (100 mg divided by 1000 to convert milligrams to grams). This choice is incorrect.
B. 100 g.
Administering 100 grams (g) of cefotaxime 100 mg IM is a significantly excessive dose and is incorrect. The correct calculation is 0.1 g (100 mg divided by 1000 to convert milligrams to grams). This choice is incorrect.
C. 0.1 g.
Administering 0.1 grams (g) of cefotaxime 100 mg IM is the correct dose calculation. To convert milligrams (mg) to grams (g), you divide by 1000. Therefore, 100 mg equals 0.1 g. This choice is correct.
A nurse is discussing potential barriers to effective communication with a newly licensed nurse.
Which of the following barriers should the nurse include?
A. Noise from nearby monitoring equipment.
Noise from nearby monitoring equipment can be a significant barrier to effective communication between healthcare providers and patients. It can make it difficult for patients to hear and understand instructions or for healthcare providers to hear patient concerns. This choice is correct.
B. Adequate lighting in a client's room.
Adequate lighting in a client's room is not a barrier to effective communication but rather a facilitator. Good lighting is essential for clear communication, as it allows healthcare providers to assess the patient's condition, read documents, and observe nonverbal cues effectively. This choice is incorrect.
C. Cultural differences between a client and nurse.
Cultural differences can lead to misunderstandings regarding eye contact, personal space, and health beliefs. Without cultural competence, the nurse may misinterpret a client's behavior or inadvertently cause offense, hindering the therapeutic relationship and communication.
D. Use of medical terminology when speaking to a client.
The use of medical terminology when speaking to a client can be a barrier to effective communication. Healthcare professionals should use plain language and avoid medical jargon to ensure that patients understand the information being conveyed. This choice is correct.
E. The nurse faces the client when speaking.
The nurse facing the client when speaking is not a barrier but a best practice in effective communication. Facing the client allows for better nonverbal communication, including eye contact and the ability to assess the client's reactions and understanding. This choice is incorrect.
Full Explanation
Choice A rationale: Environmental factors like noise from monitoring equipment create physical barriers. These sounds can drown out verbal messages, cause distractions, or increase anxiety, making it difficult for the client and nurse to exchange clear information.
Choice B rationale: Adequate lighting is a facilitator, not a barrier, to effective communication. Good visibility allows the client and nurse to observe non-verbal cues, such as facial expressions and gestures, which enhance the overall understanding of the message.
Choice C rationale: Cultural differences can lead to misunderstandings regarding eye contact, personal space, and health beliefs. Without cultural competence, the nurse may misinterpret a client's behavior or inadvertently cause offense, hindering the therapeutic relationship and communication.
Choice D rationale: Using medical jargon is a common semantic barrier. Clients often do not understand complex clinical terms, which can lead to confusion, fear, and a lack of compliance with treatment plans if the information is not simplified.
Choice E rationale: Facing the client while speaking is a positive non-verbal communication technique. It demonstrates active listening, encourages engagement, and allows the client to see the nurse's mouth and expressions, which facilitates better understanding and builds trust.
A nurse is caring for a client who has a prescription for morphine 1 to 2 mg subcut every 4 hr PRN for pain. Which of the following actions should the nurse take?
A. Clarify the dosage of the morphine.
Clarify the dosage of the morphine. Rationale: The dosage of morphine prescribed (1 to 2 mg) is within the acceptable range for subcutaneous administration every 4 hours as needed for pain. There is no need to clarify the dosage since it falls within the prescribed range.
B. Administer up to 2 mg of morphine in 4 hr.
Administer up to 2 mg of morphine in 4 hr. Rationale: The correct action is to administer up to 2 mg of morphine every 4 hours as needed for pain, as per the prescription. This is a standard dosing range for morphine for pain management.
C. Clarify the route of the morphine.
Clarify the route of the morphine. Rationale: The prescription clearly states the route of administration as subcutaneous (subcut). There is no need to clarify the route since it is already specified.
D. Administer 2 mg of morphine every 2 hr.
Administer 2 mg of morphine every 2 hr. Rationale: Administering morphine every 2 hours would exceed the recommended dosing interval and could potentially lead to an overdose or respiratory depression. The prescribed dosing interval is every 4 hours, not every 2 hours.
Full Explanation
he correct answer is:
A. Clarify the dosage of the morphine.
Explanation:
The prescription indicates that the client should receive 1 to 2 mg of morphine subcutaneously every 4 hours as needed for pain. This means that the nurse can administer 1 mg or 2 mg of morphine, but the exact dose should be determined based on the client's pain level and response to the medication. The nurse should clarify with the prescriber to determine the specific dosage range that is appropriate for the client.
The other options are incorrect:
- B. Administer up to 2 mg of morphine in 4 hr: The prescription states that the client can receive up to 2 mg in 4 hours, but the nurse should not administer the maximum dose without first assessing the client's pain level and determining the appropriate dose based on their individual needs.
- C. Clarify the route of the morphine: The prescription clearly states that the morphine should be administered subcutaneously, so there is no need to clarify the route.
- D. Administer 2 mg of morphine every 2 hr: The prescription states that the morphine should be administered every 4 hours, not every 2 hours. Administering the medication more frequently than prescribed could lead to overdose or other adverse effects.
It is important for nurses to carefully review all prescriptions and clarify any uncertainties with the prescriber to ensure that medications are administered correctly and safely.