Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client following a below-the-knee amputation. The client states, "My life is over." Which of the following responses should the nurse make?
A. "Why do you think your life is over?"
This response may come across as challenging or confrontational. While the nurse is asking for more information, the phrasing could inadvertently put the client on the defensive. It doesn't validate the client's feelings and may not encourage a productive dialogue.
B. "Would you like to meet with another client who is an amputee?"
Suggesting peer support or mentorship from someone who has gone through a similar experience could be beneficial in some situations, as it may help the client feel less isolated.
C. "Most people can adjust following this surgery."
“Most people can adjust following this surgery.” may be true, but it does not acknowledge the client’s individual experience and feelings. It may also sound dismissive or minimizing of the client’s challenges.
D. "You are upset. We can talk about this later."
“You are upset. We can talk about this later.” may be intended to give the client some space, but it does not convey empathy or support. It may also make the client feel rejected or ignored.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN adult medical surgical 2019 with NGN - Proctored Exam 3. Take the full exam now
Full Explanation
Choice a.This response may come across as challenging or confrontational. While the nurse is asking for more information, the phrasing could inadvertently put the client on the defensive. It doesn't validate the client's feelings and may not encourage a productive dialogue.
- Choice b. “Suggesting peer support or mentorship from someone who has gone through a similar experience could be beneficial in some situations, as it may help the client feel less isolated.
- Choice c. “Most people can adjust following this surgery.” may be true, but it does not acknowledge the client’s individual experience and feelings. It may also sound dismissive or minimizing of the client’s challenges.
- Choice d. “You are upset. We can talk about this later.” may be intended to give the client some space, but it does not convey empathy or support. It may also make the client feel rejected or ignored.
Similar Questions
A nurse is caring for a client who has been prescribed an antibiotic. The client tells the nurse, "I don't like taking medications because I don't think I need them." Which of the following responses should the nurse make?
A. "Most clients feel better after taking the antibiotic."
None
B. "Your provider wouldn't prescribe this medication if it weren't necessary."
This response educates the client about the importance of taking the prescribed medication and reinforces the authority and expertise of the provider. However, it does not respect the client's autonomy to make independent healthcare decisions
C. "I will tell your provider that you do not want to take this medication."
This response acknowledges that the client has reservations about the antibiotics and offers to communicate this to the healthcare provider for further intervention.
D. "If you don't take this medication, you will feel worse."
None
Full Explanation
B. This response educates the client about the importance of taking the prescribed medication and reinforces the authority and expertise of the provider. However, it does not respect the client's autonomy to make independent healthcare decisions
C.This response acknowledges that the client has reservations about the antibiotics and offers to communicate this to the healthcare provider for further intervention.
A nurse is providing discharge teaching for a client who has HIV. Which of the following information is the priority for the nurse to review with the client?
A. "Tell me why it's important to have your CD4+ count checked."
B. "Name a few things you will change about your diet."
C. "List some ways you can cope with the stress of your illness."
D. "Describe your daily medication schedule."
This response assesses the client's understanding and adherence to the antiretroviral therapy (ART), which isessential for managing HIV and preventing complications and transmission. ART requires strict adherence to a specific regimen of medications that must be taken at certain times and with certain foods or fluids.
Full Explanation
This response assesses the client's understanding and adherence to the antiretroviral therapy (ART), which is essential for managing HIV and preventing complications and transmission. ART requires strict adherence to a specific regimen of medications that must be taken at certain times and with certain foods or fluids.
A nurse is preparing to administer levofloxacin 750 mg via intermittent IV infusion over 90 min to a client. Available is levofloxacin 750 mg/150 mL. How many mL/hr should the nurse set the IV pump to administer?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Full Explanation
The correct answer is 100 mL/hr. To calculate this, use the formula: rate (mL/hr) = volume (mL) / time (hr).
Therefores: rate = 150 mL / 1.5 hr = 100 mL/hr.