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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

A depressed client tells the nurse, 'No one really cares whether I live or die.' What is the nurse's most appropriate response?

Correct Answer: D

Rationale: Reflecting the client's feelings fosters therapeutic communication and validates their emotions without judgment.

Question 2 of 5

The nurse is assessing a client with a history of seizures. Which observation indicates the client is experiencing an aura?

Correct Answer: A

Rationale: An aura is a sensory warning, such as a strange smell, that precedes a seizure.

Question 3 of 5

The client asks the nurse if there is anything he could do to impregnate his wife because his sperm count is "only 40 million." In responding to the client, which factor should the nurse consider?

Correct Answer: D

Rationale: A. Gonadotoxins are chemicals, drugs, or other substances that have a toxic or suppressive effect on sperm production, motility, or morphology. It is premature to examine the client's lifestyle because the client's sperm count is adequate. B. Although 40 million sperm/mL of semen is less than the normal of 60 to 100 million, the number is adequate for fertilization through intercourse. C. There is no need to utilize testosterone supplements for this client. D. The incidence of impregnation is lessened only when the sperm count decreases to less than 20 million/mL. The client should be reassured. The normal sperm count is 60 to 100 million sperm/mL of semen.

Question 4 of 5

A client with a history of depression is prescribed sertraline (Zoloft). Which side effect should the nurse monitor for?

Correct Answer: B

Rationale: Insomnia is a common side effect of sertraline, a selective serotonin reuptake inhibitor.

Question 5 of 5

The nurse is caring for a client with a history of dementia. Which approach promotes communication?

Correct Answer: B

Rationale: Simple, clear sentences enhance understanding in clients with dementia.

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