A nurse in an emergency department completes an assessment on an adolescent client that has conduct
disorder. The client threatened suicide to 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 answers c) Tell me how often do you drink alcohol
A nurse is observing bonding to the client her newborn. Which of following actions by the client requires
the nurse to intervene?
a) Holding the newborn in face position
b) Asking the father to change the newborn's diaper
c) Requesting the nurse take the newborn nursery so she can rest
d) Viewing the newborn's actions to be uncooperative - correct answers d) Viewing the newborn's
actions to be uncooperative
A nurse is caring for client who is taking levothyroxin. Which of the following findings should indicate
that the medication is effective?
a) Weight loss
b) Decreased blood pressure
c) Absence of seizures
d) Decrease inflammation - correct answers a) Weight loss
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 provider if the cord still turns black
b) Clean the base of the cord with hydrogen peroxide daily
c) Keep the cord dry until it falls off
d) The cord stump will fall off in five days - correct answers c) Keep the cord dry until it falls off