Saunders NCLEX RN Practice Questions - Nurselytic

Correct Answer: C

Rationale: The correct answer is C because using eye contact and maintaining an open stance while the client is talking demonstrates active listening. Eye contact shows attentiveness and respect, while an open stance conveys empathy and receptiveness. This non-verbal communication encourages the client to feel heard and understood, fostering a therapeutic relationship.


Choice A is incorrect because using humor may not always align with the client's feelings or be perceived as appropriate.
Choice B is incorrect as restating what the client said is a form of paraphrasing, not active listening.
Choice D is incorrect because providing personal information can shift the focus away from the client's needs and may breach professional boundaries.

Correct Answer: C

Rationale: The correct answer is C: Fluid Volume Deficit related to post-partum hemorrhage. This nursing diagnosis is most appropriate because excessive vaginal bleeding can lead to a significant loss of blood volume, potentially resulting in hypovolemia. It is crucial to address this issue promptly to prevent further complications.
Choice A is incorrect as the primary concern is the fluid volume deficit, not knowledge deficit.
Choice B is incorrect as self-care deficit is not the priority in this situation.
Choice D is incorrect as body image disturbance is not directly related to the excessive bleeding.

Correct Answer: A

Rationale: The correct answer is A because beneficence refers to the ethical principle of doing good and promoting the well-being of the patient. Providing pain medication to a client in the recovery room aligns with this principle as it aims to alleviate suffering and improve the client's comfort. This action demonstrates a commitment to the client's best interests and upholds the duty of care.


Choice B is incorrect because it relates to autonomy, where the client's wishes regarding medical treatment are respected.
Choice C is incorrect as it violates the principle of veracity by withholding important information from the family.
Choice D is incorrect as it goes against beneficence by not addressing the client's pain adequately.

Correct Answer: A

Rationale: The correct answer is A: Psychological abuse. This behavior involves verbal threats and emotional manipulation, causing fear and distress to the client. It violates the client's rights and dignity. Abandonment (
B) refers to deserting a client in need. Material exploitation (
C) involves misuse of a client's property or resources. Physical abuse (
D) involves causing harm through physical force.

Correct Answer: A

Rationale: The correct answer is A: Perform the count again. The nurse should double-check the count to ensure accuracy before taking further action. Performing the count again helps to rule out any possible errors in the initial count. This step ensures that the discrepancy is not due to a simple mistake or oversight. Contacting the pharmacy (
B), checking with the last nurse who signed out narcotics (
C), or notifying the house supervisor (
D) should be done after confirming the discrepancy through a recount. The first action should always be to verify the count internally before involving external parties or escalating the issue.