Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is gathering data from a client who has severe anxiety. Which of the following findings should the nurse identify as an indication that the client is experiencing a crisis?
A. Client reports a decreased appetite
B. Client isolates themselves from their family and friends
Rationale: A crisis is a situation that overwhelms a person's usual coping mechanisms and causes psychological distress. A client who isolates themselves from their family and friends is showing a sign of impaired social functioning, which indicates a crisis. The other options are not specific to a crisis and could be manifestations of anxiety or depression.
C. Client expresses an inability to experience pleasure
D. Client reports intermittent depressed mood
This question is an excerpt from Nurse Dive's nursing test bank - ATI Comprehensive Predictor 2023 Proctored Exam. Take the full exam now
Full Explanation
Answer: B. Client isolates themselves from their family and friends
Rationale: A crisis is a situation that overwhelms a person's usual coping mechanisms and causes psychological distress. A client who isolates themselves from their family and friends is showing a sign of impaired social functioning, which indicates a crisis. The other options are not specific to a crisis and could be manifestations of anxiety or depression.
Similar Questions
A nurse is monitoring a client who has received external radiation for throat cancer. Which of the following findings should the nurse expect?
A. Increased appetite
B. Loss of taste
Rationale: External radiation for throat cancer can damage the taste buds and cause loss of taste or altered taste sensation. This can affect the client's nutritional intake and quality of life. The other options are not expected findings of external radiation for throat cancer and could be caused by other factors.
C. Loose stools
D. Bladder infection
Full Explanation
Answer: B. Loss of taste
Rationale: External radiation for throat cancer can damage the taste buds and cause loss of taste or altered taste sensation. This can affect the client's nutritional intake and quality of life. The other options are not expected findings of external radiation for throat cancer and could be caused by other factors.
A nurse is reinforcing teaching with a parent of a newborn about home safety precautions.Which of the following statements by the parent indicates an understanding of the teaching?
A. “I will place my newborn's crib near a heat vent during cold weather."
B. "I will place my newborn face up on a pillow when sleeping."
C. "I will attach the pacifier to my newborn's clothing with a string at bedtime."
D. "I will make sure that I can fit one finger between the mattress and the side of my newborn's crib."
Rationale: The parent should make sure that the mattress fits snugly in the crib and that there are no gaps between the mattress and the side of the crib that could trap the newborn's head or body. This reduces the risk of suffocation or entrapment. The other statements by the parent are incorrect and unsafe practices that could harm the newborn.
Full Explanation
Answer: D. I will make sure that I can fit one finger between the mattress and the side of my newborn's crib.
Rationale: The parent should make sure that the mattress fits snugly in the crib and that there are no gaps between the mattress and the side of the crib that could trap the newborn's head or body. This reduces the risk of suffocation or entrapment. The other statements by the parent are incorrect and unsafe practices that could harm the newborn.
A nurse is reviewing laboratory findings for three clients. Which of the following laboratory results should the nurse expect for a client who has pancreatitis?
A. Elevated ammonia
B. Decreased albumin
C. Prolonged PTANR
D. Elevated lipase
Rationale: Pancreatitis is an inflammation of the pancreas that causes pancreatic enzymes to leak into the bloodstream and damage surrounding tissues. Lipase is one of these enzymes that is produced by the pancreas to digest fats. An elevated lipase level indicates pancreatic injury and is a diagnostic marker for acute pancreatitis. The other laboratory results are not specific to pancreatitis and could be caused by other conditions.
Full Explanation
Answer: D. Elevated lipase
Rationale: Pancreatitis is an inflammation of the pancreas that causes pancreatic enzymes to leak into the bloodstream and damage surrounding tissues. Lipase is one of these enzymes that is produced by the pancreas to digest fats. An elevated lipase level indicates pancreatic injury and is a diagnostic marker for acute pancreatitis. The other laboratory results are not specific to pancreatitis and could be caused by other conditions.