Free Access NCLEX.NCLEX-RN.v2025-07-15.q915 Practice Test (Page 34)

Question 161

A 45-year-old male client was admitted to a chemical dependency treatment center following legal problems related to alcohol abuse. He states, "I know that alcohol is a problem for some people, but I can stop whenever I want to. I'm never sick or miss work, and no one can complain about me." During the initial assessment, the best response by the nurse would be:

A."The fact is you are an alcoholic or you wouldn't be here."

B."I understand it took strength to admit yourself to the unit, and I will do my part to help you to stay alcohol- free."

C."If you can stop drinking when you want to, why don't you stop?"

D."It's good that you can stop drinking when you want to."

Question 162

The health team needs to realize that the compulsive concern with cleanliness that a client with severe anxiety exhibits is most likely an attempt to:

A.Reduce his anxiety

B.Avoid going to psychotherapy

C.Manipulate the health team members

D.Increase his self-image by showing higher standards than the fellow clients

Question 163

A 10-month-old infant's mother says that he takes fresh whole milk eagerly, but that when she offered him baby foods at 6 months of age, he pushed them out of his mouth. Because he has gained weight appropriately, she has quit trying to get him to eat other foods. The nurse's response is based on the knowledge that:

A.Milk intake should be limited to no more than four 8-oz bottles per day and should be followed by iron-enriched cereal or other solid foods or juices

B.Milk is an excellent food and will meet his nutritional needs adequately until he is ready to eat solid foods

C.It is acceptable to continue to give him whole milk and to delay giving solid foods as long as he takes a vitamin supplement daily

D.He should be started on iron-enriched cereal, meat, vegetables, fruits, and juices prior to bottle feeds.Milk intake should be limited to 1 qt/day

Question 164

A client is being discharged on warfarin (Coumadin), an oral anticoagulant. The nurse instructs him about using this drug. Which following response by the client indicates the need for further teaching?

A."I should shave with my electric razor while on Coumadin."

B."I will inform my dentist that I am on anticoagulant therapy before receiving dental work."

C."I will continue with my usual dosage of aspirin for my arthritis when I return home."

D."I will wear an ID bracelet stating that I am on anticoagulants."

Question 165

During discharge planning, parents of a child with rheumatic fever should be able to identify which of the following as toxic symptoms of sodium salicylate?

A.Tinnitus and nausea

B.Dermatitis and blurred vision

C.Unconsciousness and acetone odor of the breath

D.Chills and an elevation of temperature

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Question 161

Question 162

Question 163

Question 164

Question 165

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