Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who recently gave birth to her first child. The newborn is crying and the client states, "I can't seem to do anything right. What should I do?" Which of the following responses should the nurse make?
A. "I'll take him back to the nursery, so you can get some rest."
B. "Let me show you how to swaddle and cuddle him, then you try."
This response acknowledges the client's concern and offers support and guidance. By demonstrating and encouraging the client to participate in swaddling and cuddling the newborn, the nurse promotes bonding, provides a practical solution for soothing the baby, and empowers the client to actively engage in caring for her child.
C. "Babies need to cry soon after they are born to develop their lungs.
D. "If I turn him on his side, maybe he'll go back to sleep."
This question is an excerpt from Nurse Dive's nursing test bank - PN Comprehensive Predictor PN 2020 Proctored Exam. Take the full exam now
Full Explanation
This response acknowledges the client's concern and offers support and guidance. By demonstrating and encouraging the client to participate in swaddling and cuddling the newborn, the nurse promotes bonding, provides a practical solution for soothing the baby, and empowers the client to actively engage in caring for her child.
Similar Questions
A nurse is supervising an assistive personnel (AP) who is providing client care. The nurse should identify that which of the following actions by the AP demonstrates effective use of supplies?
A. Wears an N95 mask when bathing a client who has Clostridium difficile
Wearing an N95 mask when bathing a client with Clostridium difficile is important, but it is not related to effective use of supplies.
B. Disposes of contaminated sheets in a linen bag
The nurse should identify that disposing of contaminated sheets in a linen bag demonstrates effective use of supplies.
C. Wears clean gloves when performing oral hygiene
Wearing clean gloves when performing oral hygiene is standard practice for infection control and not specific to the use of supplies.
D. Empties the sharps container when it is full The correct answer is B
Empting the sharps container when it is full is also important, but it is not related to effective use of supplies.
Full Explanation
The nurse should identify that disposing of contaminated sheets in a linen bag demonstrates effective use of supplies.
Wearing an N95 mask when bathing a client with Clostridium difficile is important, but it is not related to effective use of supplies.
Wearing clean gloves when performing oral hygiene is standard practice for infection control and not specific to the use of supplies.
Empting the sharps container when it is full is also important, but it is not related to effective use of supplies.
A nurse is caring for a client who follows a kosher diet. Which of the following menu items should the nurse include on the tray?
A. Clam chowder
The nurse should avoid including clam chowder, pulled-pork sandwich, and shrimp salad in the client's menu
B. Pulled-pork sandwich
The nurse should avoid including clam chowder, pulled-pork sandwich, and shrimp salad in the client's menu
C. Shrimp salad
The nurse should avoid including clam chowder, pulled-pork sandwich, and shrimp salad in the client's menu
D. Roasted salmon
Kosher dietary laws prohibit the consumption of shellfish (such as clam chowder and shrimp salad) and pork (such as a pulled-pork sandwich).
Full Explanation
Kosher dietary laws prohibit the consumption of shellfish (such as clam chowder and shrimp salad) and pork (such as a pulled-pork sandwich). Therefore, the nurse should avoid including clam chowder, pulled-pork sandwich, and shrimp salad in the client's menu.
Instead, offering foods that comply with kosher guidelines, such as roasted salmon, ensures that the client's dietary needs and preferences are respected.
A nurse is caring for a client who has paranoid schizophrenia and believes that they are being followed by FBI agents who are pretending to be psychiatric staff. Which of the following responses should the nurse make?
A. "Why do you feel the staff is the FBI?"
B. "The psychiatric staff is not FBI. They are here to help you.""
C. "This must be very frightening for you. Let's talk more about it."
When caring for a client with paranoid schizophrenia who has delusions or beliefs that are not based in reality, it is important to respond in a therapeutic and empathetic manner. Acknowledging the client's fear and validating their experience can help establish trust and promote open communication. The response "This must be very frightening for you. Let's talk more about it" demonstrates empathy and a willingness to engage in further discussion, allowing the client to express their concerns and facilitating a therapeutic relationship.
D. "What makes you think the staff is following you?"
Full Explanation
When caring for a client with paranoid schizophrenia who has delusions or beliefs that are not based in reality, it is important to respond in a therapeutic and empathetic manner. Acknowledging the client's fear and validating their experience can help establish trust and promote open communication.
The response "This must be very frightening for you. Let's talk more about it" demonstrates empathy and a willingness to engage in further discussion, allowing the client to express their concerns and facilitating a therapeutic relationship.