2023 B WITH CORRECT QUESTIONS AND
ANSWERS
A_nurse_is_performing_a_cognitive_assessment_to_distinguish_delirium_from_dementia_i
n_a_client_whose_family_reports_episodes_of_confusion._Which_of_the_following_assess
ment_findings_supports_the_nurse's_suspicion_of_delirium?_-
_Correct_answer~_Easily_distracted
A_nurse_is_caring_for_a_client_who_gave_birth_to_a_stillborn_baby._Which_of_the_follo
wing_statements_should_the_nurse_make?_-
_Correct_answer~_"I'll_stay_with_you_just_in_case_you_want_to_talk."
A_nurse_is_caring_for_four_clients_in_an_emergency_department._The_nurse_should_ide
ntify_that_which_of_the_following_clients_can_give_informed_consent?_-
_Correct_answer~_A_35-year-old_client_who_has_major_depressive_disorder
A_nurse_is_teaching_a_newly_licensed_nurse_about_nursing_care_plans_for_clients_who
_have_depressive_disorders._Which_of_the_following_statements_by_the_newly_licensed
_nurse_indicates_an_understanding_of_the_teaching?_-
_Correct_answer~_"I_will_update_the_plan_of_care_as_a_client's_manifestations_of_depr
ession_change."
, A_nurse_on_a_medical-
surgical_unit_is_assessing_a_client_who_sustained_injuries_12_hr_ago_following_a_motor
-
vehicle_crash._The_client's_admission_blood_alcohol_level_was_325_mg/dL._Which_of_th
e_following_findings_should_indicate_to_the_nurse_that_the_client_is_experiencing_alcoh
ol_withdrawal?_-_Correct_answer~_Blood_pressure_154/96_mm_Hg
A_nurse_is_planning_care_for_a_client_who_has_made_repeated_physical_threats_towar
d_others_on_the_unit._Although_the_client_does_not_want_to_leave_the_unit,_the_nurs
e_requests_the_provider_to_transfer_the_client_to_a_unit_that_is_equipped_to_manage_
violent_behavior._Which_of_the_following_ethical_principles_should_the_nurse_apply_in_
this_situation?_-_Correct_answer~_Nonmaleficence
A_nurse_is_discussing_a_12-
step_program_with_a_client_who_has_alcohol_use_disorder_and_is_in_an_acute_care_fa
cility_undergoing_detoxification._Which_of_the_following_information_should_the_nurse_
include_in_the_teaching?_-
_Correct_answer~_The_client_should_obtain_a_sponsor_before_discharge_for_an_increas
ed_chance_of_recovery.
A_nurse_is_creating_a_plan_of_care_for_a_client_who_has_been_placed_in_seclusion_aft
er_threatening_to_harm_others_on_the_unit._Which_of_the_following_interventions_sho
uld_the_nurse_include_in_the_plan?_-
_Correct_answer~_Renew_the_prescription_for_the_client_every_4_hr.
A_nurse_is_performing_an_admission_assessment_on_a_client_and_notices_that_the_clie
nt_appears_withdrawn_and_fearful._To_establish_a_trusting_nurse-
client_relationship,_which_of_the_following_actions_should_the_nurse_take_first?_-
_Correct_answer~_Inform_the_client_that_this_admission_is_confidential.