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Questions 164

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Extract:


Question 1 of 5

The nurse is reinforcing teaching to the parents of a hospitalized 3-month-old about separation anxiety. The nurse notices that the parents still seem concerned about leaving the infant while they work. Which statement by one of the parents indicates that the teaching has been effective?

Correct Answer: C

Rationale: Infants at 3 months (
C) do not yet exhibit separation anxiety and cannot sense parental anxiety. Crying (
A), feeling abandoned (
B), and understanding return (
D) occur later in development.

Question 2 of 5

A nurse on an orthopedic unit is caring for four clients with a casted extremity. Which client does the nurse prioritize to see first?

Correct Answer: A

Rationale: Tingling (
A) suggests neurovascular compromise, requiring urgent assessment. Itching (
B), moderate pain (
C), and throbbing (
D) are less critical.

Question 3 of 5

The nurse is talking with a client whose spouse recently died. The client states, 'I just cannot get over my spouse's death.' Which of the following responses would be appropriate for the nurse to make?

Correct Answer: B,D,E

Rationale: The nurse should provide empathetic, open-ended responses that encourage the client to express feelings and explore coping strategies. Suggesting a support group (
D) and asking about coping methods (E) are therapeutic. Acknowledging that grief takes time (
B) is supportive. Sharing personal experiences (
A) is unprofessional, and leaving the client alone (
C) may dismiss their emotional needs.

Question 4 of 5

A client with multiple sclerosis plans to begin an exercise program. In addition to discussing the benefits of regular exercise, the nurse should caution the client to avoid activities which

Correct Answer: B

Rationale: lead to dehydration. The client must take in adequate fluids before and during exercise periods.

Question 5 of 5

The nurse is caring for a client receiving treatment for benign prostatic hyperplasia. Which client statement requires further investigation?

Correct Answer: A

Rationale: Burning on urination (
A) suggests a urinary tract infection, requiring investigation. Dribbling (
B), nocturia (
D), and missing doses (
C) are common with BPH or medication non-adherence but less urgent.

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