Questions 151

NCLEX-RN

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Question 1 of 5

When a client with alcohol dependency begins to talk about not having a problem with alcohol, the nurse should use which of the following approaches?

Correct Answer: D

Rationale: This approach uses therapeutic communication, acknowledging the client's perspective and encouraging problem-solving, which is effective for addressing denial in alcohol dependency.

Question 2 of 5

The nurse is discharging a client who has been hospitalized for preterm labor. The client needs further instruction when the nurse is

Correct Answer: A

Rationale: Suspecting a bladder infection requires immediate medical evaluation, not just a visit to the obstetrician, as infections can trigger preterm labor. The other statements reflect correct understanding of preterm labor management.

Question 3 of 5

A client with chronic undifferentiated schizophrenia is having an acute exacerbation of symptoms. The client states, 'Black cats and black hats. Where does the time go?' Which of the following would be most important for the nurse to say?

Correct Answer: C

Rationale: Clarifying the client's statement helps assess their thought process and engage therapeutically.

Question 4 of 5

A client is trying to lose weight at a moderate pace. The client eliminates 1,000 calories per day from his normal intake, how many pounds would he lose in 1 week?

Correct Answer: A

Rationale: A 1,000-calorie daily deficit equals 7,000 calories per week. Since 3,500 calories approximate one pound of fat, the client would lose about 2 pounds per week.

Question 5 of 5

Which of the following techniques is correct when administering a subcutaneous injection?

Correct Answer: B

Rationale: A subcutaneous injection is correctly administered at a 45-degree angle (or 90 degrees for obese patients) using a 5/8-inch needle, pinching the skin, without an air bubble.

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