NCLEX-PN Test #7 1

Question 1

A nurse is caring for a client newly diagnosed with breast cancer who states, 'I know they made a mistake with the pathology report. I don't have cancer.' Which nursing response is most therapeutic?

Accepted Answer

'I understand this news is very difficult. What are your thoughts and feelings right now?'

Answer

'Let's talk about your treatment options so you can feel in control.'

Answer

'You need to accept your diagnosis so we can begin treatment.'

Answer

'I'll arrange for a second pathology opinion if that would help you feel better.'

Question 2

A nurse is caring for a client with major depressive disorder who states, 'I've been giving away my things and I've said goodbye to my family. I feel at peace now.' How should the nurse interpret this?

Accepted Answer

The client is showing warning signs of imminent suicide

Answer

The client has accepted their illness and is improving

Answer

The client is demonstrating spiritual coping

Answer

The client is experiencing normal grief

Question 3

A nurse is providing care to a client with schizophrenia who says, 'The TV is sending me special messages.' Which response by the nurse is most therapeutic?

Accepted Answer

'I don't see evidence that the TV is sending you messages, but I can see you are distressed.'

Answer

'I understand why you believe that, but TVs cannot send personal messages.'

Answer

'What do the messages say?'

Answer

'Let's turn off the TV so it doesn't bother you anymore.'

Question 4

A nurse is caring for a client with alcohol use disorder who is on day 2 of detoxification. The client suddenly becomes agitated, diaphoretic, and tremulous. Which finding would require the most urgent nursing action?

Accepted Answer

New onset of tonic-clonic seizure activity

Answer

Complaints of nausea and vomiting

Answer

Blood pressure of 158/96 mmHg

Answer

Mild hand tremors and irritability

Question 5

A nurse is caring for an older adult client in a long-term care facility. The client has unexplained bruising in different stages of healing, fearfulness when a specific staff member enters the room, and recent withdrawal from activities. The nurse should first:

Accepted Answer

Document the findings and report suspected abuse to the appropriate authority

Answer

Confront the suspected staff member directly

Answer

Ask the client's family if they have noticed any changes at home

Answer

Reassess the client in one week before making any reports

Question 6

A nurse is preparing to discharge a client who experienced a panic attack. Which statement by the client indicates a need for further teaching?

Accepted Answer

'If I avoid all stressful situations, I won't have panic attacks.'

Answer

'I should practice diaphragmatic breathing when I feel anxious.'

Answer

'Regular exercise may help reduce the frequency of panic attacks.'

Answer

'I should contact my provider if panic attacks are occurring more frequently.'