1. A nurse is teaching about home safety with a parent of a newborn. Which of the
following information should the nurse include?
- Increase the temperature of the room prior to bathing the newborn.
2. A nurse in a mental health clinic is planning care for a client who has post-
traumatic stress disorder (PTSD). Which of the following strategies should the
nurse include?
- Assist the client to identify their stage in the grief process.
3. A nurse in an emergency department is assessing a newly admitted client. The
nurse should identify that which of the following findings is a manifestation of
acute cocaine toxicity?
- Agitation
4. A nurse is admitting a toddler who has Wilms' tumor. Which of the following
actions is the nurse's priority?
- Avoid palpation of the abdomen.
5. A nurse is teaching a client about acute glomerulonephritis. Which of the
following information should the nurse include?
- Restrict fluid intake based on previous day's urine output.
6. A nurse is reviewing the medical record of a 9-month-old infant. Which of the
following findings should the nurse report to the provider? (Click on the "Exhibit"
button for additional information about the client. There are three tabs that
contain separate categories of data.)
- Gross motor skills
7. A nurse is assessing a client who has multiple sclerosis (MS). Which of the
following manifestations should the nurse expect?
- Decreased visual acuity
8. A nurse is reviewing the laboratory results for a client who has HELLP syndrome.
Which of the following laboratory results should the nurse expect?
- Serum uric acid 11 mg/dL
9. A nurse is teaching about self-management of sexually transmitted infections
with a client who has genital herpes. Which of the following instructions should
the nurse include in the teaching?
- "Wear gloves when applying anesthetic ointments."
, 10. A nurse is teaching the parents of a newborn about using a bulb syringe to clear
the newborn's nose and mouth of excess secretions. Which of the following
instructions should the nurse include?
- Discontinue suctioning when the newborn's cry sounds clear.
11. A nurse is reviewing the laboratory report of a school-age child who has acute
poststreptococcal glomerulonephritis. Which of the following laboratory values
should the nurse expect?
- Increased specific gravity
12. A nurse is teaching about managing fatigue with a client who has end-stage
COPD. Which of the following statements should the nurse include in the
teaching?
- "Rest your elbows on a table when doing an activity."
13. A nurse is providing teaching to a client who has bipolar disorder and a new
prescription for lithium. Which of the following statements should the nurse
make?
- "Drink at least 1.5 liters of fluid per day while taking this medication."
14. A nurse is teaching a client who has chronic pain about biofeedback. Which of
the following information should the nurse include about this complementary
therapy?
- Biofeedback provides audio and visual signals to induce a physiological
change.
15. A nurse is assessing a client who has depression. Which of the following
manifestations should indicate to the nurse that the client is experiencing low
self-esteem?
- Hypersensitivity to criticism
16. A nurse is caring for an infant born at 31 weeks of gestation. For which of the
following complications should the nurse anticipate and monitor the newborn?
(Select all that apply.)
Apnea
Necrotizing enterocolitis
Hypoglycemia
17. A nurse is assessing a newly admitted client following a stroke. Which of the
following findings should indicate to the nurse the client has experienced a left
hemispheric stroke?
- Difficulty reading
18. A nurse is teaching a client who is scheduled for the placement of a penile
implant for the treatment of erectile dysfunction. Which of the following
statements by the client indicates an understanding of the teaching?