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Question 1 of 5

The nurse is caring for a client with schizophrenia. The client appears anxious and states, 'The voices are bad today; they sound so angry with me.' Which of the following responses would be most appropriate for the nurse to make?

Correct Answer: D

Rationale: Acknowledging the client's fear and offering medication (
D) is therapeutic and addresses anxiety. Dismissing voices (A,
B) or probing content (
C) may increase distress or reinforce delusions.

Question 2 of 5

The nurse is caring for a 5 year-old child whose left leg is in skeletal traction. Which of the following activities would be an appropriate diversional activity?

Correct Answer: C

Rationale: Playing hand held games. Immobilization with traction must be maintained until bone ends are in satisfactory alignment. Activities that increase mobility interfere with the goals of treatment.

Question 3 of 5

The nurse answers a call light on a client not assigned to the nurse. The client, who was just admitted from the emergency department, requests a cup of coffee. What is the appropriate intervention?

Correct Answer: D

Rationale: Suggesting water (
D) is safe until dietary orders are confirmed. Coffee (A,
C) may be contraindicated, and waiting (
B) doesn't address the request.

Question 4 of 5

A client who has been waiting for several hours in the clinic waiting room suddenly begins to shout, 'I need some attention and I need it now!' How should the nurse respond initially?

Correct Answer: C

Rationale: Engaging the client to assess her needs de-escalates agitation and addresses concerns. Silencing, calling security, or explaining delays may escalate tension.

Question 5 of 5

The nurse is caring for a client who has chickenpox with open lesions. Which of the following infection control precautions should the nurse implement?

Correct Answer: A,B,C,D

Rationale: Chickenpox requires airborne and contact precautions: negative pressure room (
A), protecting pregnant staff (
B), masking during transport (
C), and gown, gloves, N95 (
D). Visitor restriction (E) is too short; it lasts until lesions crust.

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