EXIT FINAL
A nurse in an emergency department completes an assessment on an
adolescent client that has conduct disorder. The client threatened suicide
to a teacher at school. Which of the following statements should the nurse
include in the assessment?
a)Tell me about your siblings?
B)Tell me what kind of music you like?
c) Tell me how often do you drink alcohol?
d) Tell me about your school schedule? - CORRECT ANSWER -Tell me
how often do you drink alcohol
A nurse is observing bonding to the client her newborn. Which of the
following actions by the client requires the nurse to intervene? A-
Holding the new born in an en face position b- asking the father to
change the newborns diaper c- requesting the nurse to take the
newborn nursery so she can rest
d- Viewing the newborns actions to be uncooperative - CORRECT ANSWER
-Viewing the newborns actions to be uncooperative
A nurse is caring for a client who is taking levothyroxine. Which of the
following findings should indicate that the medication is effective? A-
Weight loss b- Asking the father to change the newborns diaper c-
absence of seizures
d- Decrease inflammation - CORRECT ANSWER -Weightloss this drug
acts as T4 and will normalize the effects of hypothyroidism
1.
,A nurse is planning discharge teaching for cord care for the parent of
a newborn. Which instructions would you include in the teaching? A-
contact the provider if the cord still turns black b- clean the base of
the cord with hydrogen peroxide daily c- Keep the cord dry unitl it
falls off
d- The cord stump will fall off in five days - CORRECT ANSWER -Keep the
cord dry until it falls off (cord should be kept clean and dry to prevent
infection, it will turn black, clean with neutral ph cleanser, cord falls off in
10-14 days)
A nurse is assessing a client in PACU. Which of the following findings
indicates decreased cardiac output? A- Shivering b- oliguria c-
Bradypnea d- Constricted pupils - CORRECT ANSWER -Oliguria
A nurse is assisting with mass casualty triage, explosion at a local
factory. Which of the following client should the nurse identify as the
priority? A- A client that has massive head trauma
B-A client has full thickness burns to face and trunk
C- A client with indications of hypovolemic shock
D- A client with open fracture of the lower extremity - CORRECT
ANSWER -A client with indications of hypovolemic shock
A nurse is receiving report on four clients. Which of the following clients
should the nurse asses first?
A- a client who has illegal conduit and mucus in the
pouch b- Client pleasant arteriovenous additional
vibration palpated c- Client whose chronic kidney
disease with cloudy diasylate outflow D- A client was
transurethral resection of the prostate with red tinged
urine in the bag - CORRECT ANSWER -A client whose
chronic kidney disease with cloudy diasylate outflow
1.
,A nurse is caring for a client just received the first dose of lisinopril. The
following is an appropriate nursing intervention?
a- place's cardiac monitoring b-
monitor the clients oxygen saturation
level c- provide standby assist with the
client from bed
d- encourage foods high in potassium - CORRECT ANSWER -Provide
standby assist with the client from bed
A nurse is caring for a client who is in labor and his seat is recieving
electronic fetal monitoring. The nurse is reviewing the monitor tracing and
notes early decelerations. Which of the following should the nurse expect?
a-Feta hypoxia b- abrupto placentae c- post
maturity d- head compressions - CORRECT
ANSWER -head compressions
A nurse is caring for a client who has chronic kidney disease. The nurse
should identify which of the following laboratory values as an indication
for hemodialysis?
a- Glomerular filtration rate of 14
ml/minute b- BUN 16 ml/dl c-
serum magnesium 1.8 mg mg/dl
d- serum phosphorus 4.0 m mg/dl - CORRECT ANSWER -glomerular
filtraion rate of 14 ml/minute
A nurse is caring for an infant who has a prescription for continuous pulse
oximetry. The following is an appropriate action for the nurse to take?
1.
, a- placed infant under radiant warmer b-
move the probe site every 3 hrs c- heat the
skin one minute prior to placing the program
d- placed a sensor on the index finger - CORRECT ANSWER -Heat the
skin one minute prior to placing the program.
A nurse in a mental health facility receives a change to shift report on for
clients. Which of the following clients should the nurse plan to asses first?
a- A client placed in restraints to the aggressive behavior b- a new
limited client pleasures history 4.5 kg weight loss in the past two
months c- client is receiving prn dose of health heard all two hours
ago for increased anxiety
d- Applied he'll be receiving his first ect treatment today - CORRECT
ANSWER -Cliet placed in restraints to the aggressive behavior
A nurse is working at the clinic is teaching a group of clients who are
pregnant on the use of nonpharmacological pain management. Which of
the following statements by the nurse is an appropriate description of the
use of hypnosis during labor?
a- Hypnosis focuses on biofeedback as a relaxation technique b-
hypnosis promoted increased control of her pain perception
during contractions c- hypnosis uses therpeutic touch to reduce
anxiety during labor
d- hynosis provides instructions to minimize pain - CORRECT ANSWER -
Hypnosis promotes increased control of her pain perception during
contractions.
A nurse is a county jail health clinic is leading group therapy sessions. A
client who has incarcerated for theft is addressing the group. Which of the
1.