Fundamentals NCLEX RN Questions

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Question 1 of 5.

Which of the following responses should the nurse avoid when communicating with a client who has just received a poor prognosis? Select all that apply.

A. My mother has the same thing.

B. I'll sit with you for a while.

C. I think you should try having surgery.

D. Don't cry, everything is going to be okay.

E. Do you have any questions for me right now?

Explanation: Avoid personal anecdotes, medical advice, or minimizing emotions, as they dismiss the client's feelings. Offering presence and open-ended questions are therapeutic.

Question 2 of 5.

The nurse is ambulating a client who is wearing a gait belt. The client begins to fall. The nurse should take which appropriate action to minimize injury?

A. Hold the gait belt, extend one leg, let the client slide against the leg, and lower the client to the floor.

B. Let go of the gait belt, grab the client under each arm, and gently lower the client to the floor.

C. Grasp the gait belt, and instruct the client to fall gently down to the floor in a side-lying position.

D. Hold the gait belt, and lower the client to the floor by using a narrow base of support.

Explanation: Using the gait belt to guide the client against the nurse's leg minimizes injury. Letting go, instructing a side-lying fall, or using a narrow base increases risk.

Question 3 of 5.

The nurse is teaching a client about a vegan diet. Which of the following foods should the nurse recommend for this diet? Select all that apply.

A. Legumes

B. Tofu

C. Almonds

D. Prunes

E. Baked fish

F. Grapefruit

Explanation: Vegan diets exclude animal products, so legumes, tofu, almonds, prunes, and grapefruit are suitable. Baked fish is not vegan.

Question 4 of 5.

Which of the following clients would most likely benefit from contralateral stimulation as a nonpharmacological comfort intervention to decrease pain?

A. A 36-year-old client with abdominal pain

B. A 56-year-old client with a below-the-knee amputation and phantom limb pain

C. A 76-year-old client with terminal cancer

D. An 84-year-old client with severe arthritis

Explanation: Contralateral stimulation, rubbing the opposite limb, is effective for phantom limb pain by altering pain perception. It is less effective for visceral, cancer, or arthritic pain.

Question 5 of 5.

The nurse provides discharge teaching to a client prescribed a cane for left-sided weakness. Which instruction should the nurse provide?

A. Advance the cane along with your stronger leg.

B. Remove the rubber tip when going upstairs.

C. Measure the height of the cane to your elbow.

D. Secure the cane in your right hand.

Explanation: The cane is held in the right hand (stronger side) for left-sided weakness to support the weaker leg. The stronger leg moves first, rubber tips stay on, and height is measured to the greater trochanter.

Question 1 of 5.

Which of the following responses should the nurse avoid when communicating with a client who has just received a poor prognosis? Select all that apply.

A. My mother has the same thing.

B. I'll sit with you for a while.

C. I think you should try having surgery.

D. Don't cry, everything is going to be okay.

E. Do you have any questions for me right now?

Question 2 of 5.

The nurse is ambulating a client who is wearing a gait belt. The client begins to fall. The nurse should take which appropriate action to minimize injury?

A. Hold the gait belt, extend one leg, let the client slide against the leg, and lower the client to the floor.

B. Let go of the gait belt, grab the client under each arm, and gently lower the client to the floor.

C. Grasp the gait belt, and instruct the client to fall gently down to the floor in a side-lying position.

D. Hold the gait belt, and lower the client to the floor by using a narrow base of support.

Question 3 of 5.

The nurse is teaching a client about a vegan diet. Which of the following foods should the nurse recommend for this diet? Select all that apply.

A. Legumes

B. Tofu

C. Almonds

D. Prunes

E. Baked fish

F. Grapefruit

Question 4 of 5.

Which of the following clients would most likely benefit from contralateral stimulation as a nonpharmacological comfort intervention to decrease pain?

A. A 36-year-old client with abdominal pain

B. A 56-year-old client with a below-the-knee amputation and phantom limb pain

C. A 76-year-old client with terminal cancer

D. An 84-year-old client with severe arthritis

Question 5 of 5.

The nurse provides discharge teaching to a client prescribed a cane for left-sided weakness. Which instruction should the nurse provide?

A. Advance the cane along with your stronger leg.

B. Remove the rubber tip when going upstairs.

C. Measure the height of the cane to your elbow.

D. Secure the cane in your right hand.

Question 1 of 5.

Which of the following responses should the nurse avoid when communicating with a client who has just received a poor prognosis? Select all that apply.

A. My mother has the same thing.

B. I'll sit with you for a while.

C. I think you should try having surgery.

D. Don't cry, everything is going to be okay.

E. Do you have any questions for me right now?

Question 2 of 5.

The nurse is ambulating a client who is wearing a gait belt. The client begins to fall. The nurse should take which appropriate action to minimize injury?

A. Hold the gait belt, extend one leg, let the client slide against the leg, and lower the client to the floor.

B. Let go of the gait belt, grab the client under each arm, and gently lower the client to the floor.

C. Grasp the gait belt, and instruct the client to fall gently down to the floor in a side-lying position.

D. Hold the gait belt, and lower the client to the floor by using a narrow base of support.

Question 3 of 5.

The nurse is teaching a client about a vegan diet. Which of the following foods should the nurse recommend for this diet? Select all that apply.

A. Legumes

B. Tofu

C. Almonds

D. Prunes

E. Baked fish

F. Grapefruit

Question 4 of 5.

Which of the following clients would most likely benefit from contralateral stimulation as a nonpharmacological comfort intervention to decrease pain?

A. A 36-year-old client with abdominal pain

B. A 56-year-old client with a below-the-knee amputation and phantom limb pain

C. A 76-year-old client with terminal cancer

D. An 84-year-old client with severe arthritis

Question 5 of 5.

The nurse provides discharge teaching to a client prescribed a cane for left-sided weakness. Which instruction should the nurse provide?

A. Advance the cane along with your stronger leg.

B. Remove the rubber tip when going upstairs.

C. Measure the height of the cane to your elbow.

D. Secure the cane in your right hand.

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