Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is reinforcing teaching with the partner of a client who is receiving hospice care about music therapy for pain management. Which of the following statements by the partner indicates an understanding of the teaching?
A. "Playing music will increase my husband's alertness."
B. "I will discontinue music therapy when my husband is no longer responsive."
C. "My husband won't need medication for breakthrough pain while using music therapy.
D. "Music will distract my husband's awareness of the pain."
Music therapy can help reduce pain perception by providing a pleasant distraction and stimulating endorphin release.
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
The correct answer is D. Music will distract my husband's awareness of the pain. Music therapy can help reduce pain perception by providing a pleasant distraction and
stimulating endorphin release.
Similar Questions
A nurse is contributing to the plan of care for a client who had prolonged exposure to cold weather and has a core body temperature of 32.5°C (90.5° F). Which of the following data is the priority for the nurse to monitor?
A. Muscle strength
B. Urinary output
C. Pain sensation
D. Heart rhythm
Hypothermia can cause cardiac dysrhythmias such as bradycardia, atrial fibrillation, and ventricular fibrillation, which can lead to cardiac arrest.
Full Explanation
The correct answer is D. Heart rhythm. Hypothermia can cause cardiac dysrhythmias such as bradycardia, atrial fibrillation, and ventricular fibrillation, which can lead to cardiac arrest.
A nurse in an acute mental-health facility is caring for an adolescent who is exhibiting destructive behavior. Which of the following actions should the nurse take after applying physical restraints to the client?
A. Monitor the client's range of motion every 60 min.
B. Offer the client a nutritious snack every 4 hr.
C. Plan to remove the restraints as soon as the client is calm
Physical restraints should be used as a last resort and for the shortest duration possible to ensure client safety. The nurse should assess the client frequently and remove the restraints when they are no longer needed.
D. Ensure that the provider has signed a prescription for restraints within 48 hr.
Full Explanation
The correct answer is C. Plan to remove the restraints as soon as the client is calm. Physical restraints should be used as a last resort and for the shortest duration possible to ensure
client safety. The nurse should assess the client frequently and remove the restraints when they are no longer needed.
A nurse is supervising an assistive personnel (AP) who is caring for a client who is at risk for falls. For which of the following actions by the AP should the nurse intervene?
A. Assists the client to the bathroom every 2 hr
B. Raises all four side-rails on the client's bed
Raising all four side-rails on the client's bed is considered a restraint and can increase the risk of injury if the client tries to climb over them. The nurse should intervene and instruct the AP to lower one or two side-rails and use other fall prevention measures, such as bed alarms, nonskid footwear, and frequent checks.
C. Locks the wheels on the client's bed
D. Clears furniture from the path leading to the bathroom
Full Explanation
The correct answer is B. Raising all four side-rails on the client's bed is considered a restraint and can increase the risk of injury if the client tries to climb over them. The nurse should intervene and instruct the AP to lower one or two side-rails and use other fall prevention measures, such as bed alarms, nonskid footwear, and frequent checks.