NU 300 ATI NCLEX Challenge 1 Exam
With Complete Solutions
The first action the nurse should take using the nursing process is to assess the
client; therefore, the nurse should assess the display on the PCA pump to
determine the amount of medication administered. Some clients are fearful of
developing an addiction to narcotics and may be reluctant to use the PCA. -
ANSWER Check the display on the PCA pump
The first action the nurse should take using the nursing process is to assess the
client; therefore, the nurse should assess the display on the PCA pump to
determine the amount of medication administered. Some clients are fearful of
developing an addiction to narcotics and may be reluctant to use the PCA.
A nurse is teaching a newly licensed nurse about ethical principles. Which of the
following is an example of justice? - ANSWER A nurse provides
nonpharmacological pain interventions to each client equally.
Treating each client equally is an example of the ethical principle of justice. The
nurse should provide fair and adequate pain relief to clients regardless of age,
ethnicity, or history, such as substance use disorder, or limited social and
economic resources.
A nurse is preparing to review discharge instructions with a client who reports
having hearing loss. Which of the following actions should the nurse plan to
take? - ANSWER Guide the client away from background noise.
The nurse should plan to take measure to ensure a quiet environment when
communicating with a client who has hearing loss. Background noise can be
distracting and interfere with a client's comprehension of the spoken words.
A nurse is preparing a presentation on heart health at a community center for a
group of clients. Which of the following actions should the nurse take to facilitate
learning? - ANSWER Articulate wording at a slow pace.
Articulating clearly and at a slow pace will facilitate the client's learning during
the presentation by eliminating impairments in communication. The clients
would be able to understand what the nurse is presenting.
, A nurse is discussing time management strategies with another nurse. The
nurse should include which of the following as an example of a time
management strategy? - ANSWER Plan time for disruptions.
When planning the day, the nurse should plan time for disruptions, as they can
often occur throughout the shift.
When planning the day, the nurse should plan time for disruptions, as they can
often occur throughout the shift. - ANSWER Self report of pain
According to evidence-based practice, the most reliable indicator of pain is the
client's self-report of pain. A pain intensity scale is a reliable tool to identify the
client's pain level.
A nurse is teaching a newly licensed nurse about ethical principles. Which of the
following is an example of autonomy? - ANSWER A nurse gives a client the
choice of when to take a pain medication.
Giving a client a choice in when to take a pain medication is an example of
autonomy.
A nurse is teaching a class about pain management in older adult clients. Which
of the following information should the nurse include? - ANSWER Older adult
clients frequently underreport pain.
Older adult clients often underreport pain. Some reasons for underreporting
pain can include not wanting to bother the nurse, afraid to be labeled as a
complainer, or they might feel that pain is a natural outcome of growing old.
A nurse is admitting a client who speaks a different language than the nurse.
Which of the following actions should the nurse take? - ANSWER Telephone the
interpreter that is designated for the facility to interpret the information.
The nurse should obtain assistance from the facility's qualified medical
interpreter. This would facilitate the nurse with communicating with the client
through the admission process. This would also protect the facility, client,
nurse, to ensure that the information being translated is correct and accurate.
A nurse is caring for a client who had radiation therapy and is experiencing
painful dermatitis. The nurse should identify the client is experiencing which of
the following types of pain? - ANSWER Cancer pain
Cancer pain is caused by a tumor or as a result of a cancer treatment such as
radiation therapy, surgical removal, chemotherapy, or infection.
With Complete Solutions
The first action the nurse should take using the nursing process is to assess the
client; therefore, the nurse should assess the display on the PCA pump to
determine the amount of medication administered. Some clients are fearful of
developing an addiction to narcotics and may be reluctant to use the PCA. -
ANSWER Check the display on the PCA pump
The first action the nurse should take using the nursing process is to assess the
client; therefore, the nurse should assess the display on the PCA pump to
determine the amount of medication administered. Some clients are fearful of
developing an addiction to narcotics and may be reluctant to use the PCA.
A nurse is teaching a newly licensed nurse about ethical principles. Which of the
following is an example of justice? - ANSWER A nurse provides
nonpharmacological pain interventions to each client equally.
Treating each client equally is an example of the ethical principle of justice. The
nurse should provide fair and adequate pain relief to clients regardless of age,
ethnicity, or history, such as substance use disorder, or limited social and
economic resources.
A nurse is preparing to review discharge instructions with a client who reports
having hearing loss. Which of the following actions should the nurse plan to
take? - ANSWER Guide the client away from background noise.
The nurse should plan to take measure to ensure a quiet environment when
communicating with a client who has hearing loss. Background noise can be
distracting and interfere with a client's comprehension of the spoken words.
A nurse is preparing a presentation on heart health at a community center for a
group of clients. Which of the following actions should the nurse take to facilitate
learning? - ANSWER Articulate wording at a slow pace.
Articulating clearly and at a slow pace will facilitate the client's learning during
the presentation by eliminating impairments in communication. The clients
would be able to understand what the nurse is presenting.
, A nurse is discussing time management strategies with another nurse. The
nurse should include which of the following as an example of a time
management strategy? - ANSWER Plan time for disruptions.
When planning the day, the nurse should plan time for disruptions, as they can
often occur throughout the shift.
When planning the day, the nurse should plan time for disruptions, as they can
often occur throughout the shift. - ANSWER Self report of pain
According to evidence-based practice, the most reliable indicator of pain is the
client's self-report of pain. A pain intensity scale is a reliable tool to identify the
client's pain level.
A nurse is teaching a newly licensed nurse about ethical principles. Which of the
following is an example of autonomy? - ANSWER A nurse gives a client the
choice of when to take a pain medication.
Giving a client a choice in when to take a pain medication is an example of
autonomy.
A nurse is teaching a class about pain management in older adult clients. Which
of the following information should the nurse include? - ANSWER Older adult
clients frequently underreport pain.
Older adult clients often underreport pain. Some reasons for underreporting
pain can include not wanting to bother the nurse, afraid to be labeled as a
complainer, or they might feel that pain is a natural outcome of growing old.
A nurse is admitting a client who speaks a different language than the nurse.
Which of the following actions should the nurse take? - ANSWER Telephone the
interpreter that is designated for the facility to interpret the information.
The nurse should obtain assistance from the facility's qualified medical
interpreter. This would facilitate the nurse with communicating with the client
through the admission process. This would also protect the facility, client,
nurse, to ensure that the information being translated is correct and accurate.
A nurse is caring for a client who had radiation therapy and is experiencing
painful dermatitis. The nurse should identify the client is experiencing which of
the following types of pain? - ANSWER Cancer pain
Cancer pain is caused by a tumor or as a result of a cancer treatment such as
radiation therapy, surgical removal, chemotherapy, or infection.
