Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is reinforcing teaching with a client about healthful sleep habits.
Which of the following statements should the nurse identify as an indication that the client needs further instructions?
A. “I watch television until I fall asleep at night.”
Watching television until falling asleep at night is a poor sleep habit because it can interfere with the body’s natural sleep-wake cycle and make it harder to fall asleep and stay asleep. Television can also expose the eyes to bright light and stimulating or stressful content, which can affect the production of melatonin, a hormone that regulates sleep.
B. “I have a small snack and take a bath before going to bed each day.”
Choice B is wrong because having a small snack and taking a bath before going to bed each day are good sleep habits that can promote relaxation and sleep quality.
C. “I don’t take naps throughout the day.”
Choice C is wrong because not taking naps throughout the day is a good sleep habit that can help maintain a consistent sleep schedule and avoid disrupting the night-time sleep.
D. “I go to bed and get up at the same times each day.”.
Choice D is wrong because going to bed and getting up at the same times each day is a good sleep habit that can reinforce the body’s circadian rhythm and make it easier to fall asleep and wake up.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom Sp23 N144 FINAL Proctored Exam. Take the full exam now
Full Explanation
Watching television until falling asleep at night is a poor sleep habit because it can interfere with the body’s natural sleep-wake cycle and make it harder to fall asleep and stay asleep. Television can also expose the eyes to bright light and stimulating or stressful content, which can affect the production of melatonin, a hormone that regulates sleep.
Choice B is wrong because having a small snack and taking a bath before going to bed each day are good sleep habits that can promote relaxation and sleep quality.
Choice C is wrong because not taking naps throughout the day is a good sleep habit that can help maintain a consistent sleep schedule and avoid disrupting the night-time sleep.
Choice D is wrong because going to bed and getting up at the same times each day is a good sleep habit that can reinforce the body’s circadian rhythm and make it easier to fall asleep and wake up.
Similar Questions
A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye.
The nurse should identify that this is a manifestation of which of the following visual impairments?
A. Cataracts.
Cataracts are a cloudy, opaque area over the lens of one eye that can impair vision.
B. Diabetic retinopathy.
Choice B is wrong because diabetic retinopathy is a condition that affects the blood vessels of the retina, not the lens. It can cause blurred vision, floaters, or vision loss
C. Glaucoma.
Choice C is wrong because glaucoma is a condition that damages the optic nerve due to high pressure in the eye. It can cause blind spots, halos around lights, or vision loss
D. Macular degeneration.
Choice D is wrong because macular degeneration is a condition that damages the macula, the central part of the retina. It can cause blurred or no vision in the center of the visual field : https://www.nhs.uk/conditions/cataracts/ : https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and diseases/diabetic-retinopathy : https://www.mayoclinic.org/diseases-conditions/glaucoma/symptoms causes/syc-20372839 : https://en.wikipedia.org/wiki/Macular_degeneration
Full Explanation
The correct answer is choice A. Cataracts are a cloudy, opaque area over the lens of one eye that can impair vision
Choice B is wrong because diabetic retinopathy is a condition that affects the blood vessels of the retina, not the lens. It can cause blurred vision, floaters, or vision loss
Choice C is wrong because glaucoma is a condition that damages the optic nerve due to high pressure in the eye. It can cause blind spots, halos around lights, or vision loss
Choice D is wrong because macular degeneration is a condition that damages the macula, the central part of the retina. It can cause blurred or no vision in the center of the visual field
: https://www.nhs.uk/conditions/cataracts/
: https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and diseases/diabetic-retinopathy
: https://www.mayoclinic.org/diseases-conditions/glaucoma/symptoms causes/syc-20372839
: https://en.wikipedia.org/wiki/Macular_degeneration
The nurse utilizes the SBAR format to give report to the next nurse. Which one of the following statements is correct about the SBAR?
A. The SBAR is used to organize and standardize communication.
The SBAR is used to organize and standardize communication between members of the health care team about a patient’s condition. It is an acronym for Situation, Background, Assessment, and Recommendation.
B. The SBAR is used to help Physical Therapy determine the client’s abilities.
Choice B is wrong because the SBAR is not used to help Physical Therapy determine the client’s abilities. Physical Therapy may use other tools or methods to assess the client’s functional status.
C. The SBAR is used to help physicians with diagnoses.
Choice C is wrong because the SBAR is not used to help physicians with diagnoses. The SBAR is a communication tool, not a diagnostic tool. Physicians may use other sources of information or tests to make diagnoses.
D. The SBAR is used to educate clients about their disease processes.
Choice D is wrong because the SBAR is not used to educate clients about their disease processes. The SBAR is a tool for interprofessional communication, not for patient education. Clients may receive education from other sources or materials.
Full Explanation
The SBAR is used to organize and standardize communication between members of the health care team about a patient’s condition. It is an acronym for Situation, Background, Assessment, and Recommendation.
Choice B is wrong because the SBAR is not used to help Physical Therapy determine the client’s abilities.
Physical Therapy may use other tools or methods to assess the client’s functional status.
Choice C is wrong because the SBAR is not used to help physicians with diagnoses.
The SBAR is a communication tool, not a diagnostic tool.
Physicians may use other sources of information or tests to make diagnoses.
Choice D is wrong because the SBAR is not used to educate clients about their disease processes.
The SBAR is a tool for interprofessional communication, not for patient education.
Clients may receive education from other sources or materials.
A nurse is assisting with teaching a newly licensed nurse about ethical principles.
The nurse should include that working to not cause harm to a client, while trying to achieve the best possible outcome, is an example of which of the following ethical principles?
A. Nonmaleficence.
Nonmaleficence is the ethical principle of doing no harm or preventing harm to a client. It is based on the Hippocratic oath of “primum non nocere” or “first, do no harm”. It means that the nurse should act in the best interest of the client and avoid any actions that could cause injury or suffering.
B. Fidelity.
Fidelity is the ethical principle of being faithful and loyal to a client. It means that the nurse should keep promises, respect confidentiality, and maintain trust.
C. Justice.
Justice is the ethical principle of treating clients fairly and equally. It means that the nurse should distribute resources and services based on the client’s needs and not on personal biases.
D. Autonomy.
Autonomy is the ethical principle of respecting a client’s right to make their own decisions. It means that the nurse should inform the client of their options and support their choices, as long as they do not harm others.
Full Explanation
Nonmaleficence is the ethical principle of doing no harm or preventing harm to a client. It is based on the Hippocratic oath of “primum non nocere” or “first, do no harm”. It means that the nurse should act in the best interest of the client and avoid any actions that could cause injury or suffering.
Choice B. Fidelity is the ethical principle of being faithful and loyal to a client.
It means that the nurse should keep promises, respect confidentiality, and maintain trust.
Choice C. Justice is the ethical principle of treating clients fairly and equally.
It means that the nurse should distribute resources and services based on the client’s needs and not on personal biases.
Choice D. Autonomy is the ethical principle of respecting a client’s right to make their own decisions.
It means that the nurse should inform the client of their options and support their choices, as long as they do not harm others.