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

Questions 157

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Extract:


Question 1 of 5

The client diagnosed with non-Hodgkin's lymphoma tells the nurse, 'I am so tired. I just wish I could die.' Which stage of the grieving process does this statement represent?

Correct Answer: D

Rationale: Wishing to die reflects acceptance in Kübler-Ross’s grieving stages, common in terminal illness.

Question 2 of 5

The client diagnosed with end-stage congestive heart failure is being cared for by the home health nurse. Which intervention should the nurse teach the caregiver?

Correct Answer: B

Rationale: Weight gain >3 lb/week indicates fluid retention in CHF, requiring HCP notification to adjust therapy.

Question 3 of 5

The client with a closed head injury is admitted to the neurointensive care department following a motor-vehicle accident. Which goal is an appropriate short-term goal for the client?

Correct Answer: C

Rationale: Maintaining ICP <15 mm Hg is a critical short-term goal in head injury to prevent brain damage, per neuro ICU standards.

Question 4 of 5

The male client tells the nurse that he has been using acupuncture to control his chronic back pain. Which is the nurse's best response?

Correct Answer: B

Rationale: Asking about pain pre- and post-acupuncture assesses its effectiveness, supporting patient-centered care. Insurance discussion, needle sterilization (done by professionals), or suggesting alternatives is less relevant.

Question 5 of 5

The nurse is providing preoperative teaching about pain management techniques for the client having surgery. The client has a history of drug abuse. What should the nurse include in this client's plan of care?

Correct Answer: C

Rationale: Complementary therapies (e.g., guided imagery) supplement medications, ensuring adequate pain control without over-reliance on drugs, considering abuse history. Assumptions, replacing medications, or doubling doses are unsafe.

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