NCLEX Questions, ATI NCLEX-PN Practice Questions Questions, NCLEX-PN Questions, Nurselytic

Questions 157

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Question 1 of 5

The 25-year-old client who has a C6 spinal cord injury is crying and asks the nurse, 'Why did I have to survive? I wish I was dead.' Which statement is the nurse's best response?

Correct Answer: D

Rationale: A therapeutic response acknowledges feelings and invites discussion, supporting the client’s emotional needs.

Question 2 of 5

The client diagnosed with a brain tumor who had radiation treatment and developed alopecia asks, 'When will my hair grow back?' Which statement is the nurse's best response?

Correct Answer: C

Rationale: Radiation-induced alopecia may be permanent or take months to regrow, depending on dose; honesty prepares the client.

Question 3 of 5

The nurse is incorporating complementary therapies in the routines of residents of a long-term care facility. Which information should the nurse consider when matching the clients with the therapy? Select all that apply.

Correct Answer: A,B,C,E

Rationale: Matching therapies requires considering client preferences, likes/dislikes, therapy benefits, and physical/mental abilities for effectiveness and adherence. Significant other’s concerns are secondary unless they impact care.

Question 4 of 5

The public health nurse is discussing hepatitis with a client who is traveling to a third world country in one (1) month. Which recommendation should the nurse discuss with the client?

Correct Answer: B

Rationale: Hepatitis A vaccination prevents fecal-oral transmission, common in developing countries, per CDC travel guidelines.

Question 5 of 5

The nurse is administering 250 mL of packed red blood cells with 50 mL of preservative. The client has no jugular vein distention and has clear breath sounds. After the first 15 minutes, at what rate should the nurse set the IV infusion pump?

Correct Answer: 75

Rationale:
Total volume: 250 mL + 50 mL = 300 mL. Infuse over 4 hours (standard): 300 mL / 4 hr = 75 mL/hr.

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