The nurse is teaching progressive relaxation techniques to a client. W

Fundamentals NCLEX RN Questions

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Question 1 of 5.

The nurse is teaching progressive relaxation techniques to a client. Which of the following statements by the client indicates that the teaching has been effective? Select all that apply.

A. I will breathe in and out in rhythm.

B. I expect my pulse to be faster afterwards.

C. I expect to require less pain medication.

D. I expect my muscles to feel less tense.

E. I will report any increased sensitivity.

Explanation: Rhythmic breathing, reduced pain medication needs, and muscle relaxation indicate effective relaxation. Faster pulse and increased sensitivity are incorrect expectations.

Question 2 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 3 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 4 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 5 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.