Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ 40 Questions and Answers
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
1. A nurse in an emergency department completes an assessment on an adolescent with conduct
disorder who threatened suicide. Which statement 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 you drink alcohol
D. Tell me about your school schedule
Answer: C
EXPLANATION: Alcohol use is associated with increased risk-taking and suicidality;
assessing substance use is essential in suicidal clients.
2. A nurse observes maternal bonding with a newborn. Which client behavior requires
intervention?
A. Holding newborn in face position
B. Asking father to change the diaper
C. Requesting rest while nurse takes the baby
D. Viewing newborn's actions as uncooperative
Answer: D
EXPLANATION: Viewing a newborn as intentionally difficult reflects impaired bonding and
warrants further assessment.
3. A nurse is caring for a client on levothyroxine. Which indicates medication effectiveness?
A. Weight loss
B. Decreased blood pressure
C. Absence of seizures
D. Decreased inflammation
Answer: A
EXPLANATION: Weight loss indicates improved metabolism, a sign that hypothyroidism is
resolving.
, 4. What cord care instruction should the nurse give to a newborn’s parent?
A. Contact provider if cord turns black
B. Use hydrogen peroxide daily
C. Keep the cord dry until it falls off
D. The cord stump will fall off in 5 days
Answer: C
EXPLANATION: Keeping the cord dry prevents infection and allows natural detachment.
5. Which finding in the PACU suggests decreased cardiac output?
A. Shivering
B. Oliguria
C. Bradypnea
D. Constricted pupils
Answer: B
EXPLANATION: Oliguria reflects poor perfusion, a classic sign of reduced cardiac output.
6. During a mass casualty event, which client is the nurse's priority?
A. Massive head trauma
B. Full-thickness burns to face/trunk
C. Signs of hypovolemic shock
D. Open leg fracture
Answer: C
EXPLANATION: Clients in shock are unstable but salvageable and should receive immediate
treatment.
7. Which client should the nurse assess first?
A. Illeal conduit with mucus
B. AV fistula with thrill
C. CKD with cloudy dialysate
D. Post-TURP with red-tinged urine
Answer: C
EXPLANATION: Cloudy dialysate suggests peritonitis, a life-threatening complication.
8. What is the appropriate action after administering lisinopril for the first time?
A. Cardiac monitoring
B. Monitor oxygen saturation
C. Provide standby assist from bed
D. Encourage potassium-rich foods