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1. A nurse in an emergency department completes an c) Tell me how often do
assessment on an adolescent client that has conduct you drink alcohol
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
2. A nurse is observing bonding to the client her new- d) Viewing the newborn's
born. Which of following actions by the client requires actions to be uncoopera-
the nurse to intervene? tive
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
3. A nurse is caring for client who is taking levothyroxin. a) Weight loss
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
4. A nurse is planning discharge teaching for cord care c) Keep the cord dry until
for the parent of a newborn. Which instructions would it falls off
you include in the teaching?
a) Contact provider if the cord still turns black
b) Clean the base of the cord with hydrogen peroxide
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daily
c) Keep the cord dry until it falls off
d) The cord stump will fall off in five days
5. A nurse is assessing a client in the PACU. Which of the b) Oliguria
following findings indicates decreased cardiac out-
put?
a) Shivering
b) Oliguria
c) Bradypnea
d) Constricted pupils
6. A nurse is assisting with mass casualty triage: explo- c) A client with indications
sion at a local factory. Which of the following client of hypovolemic shock
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
7. A nurse is a receiving report on four clients. Which of c) A client whose chronic
the following clients should the nurse assess first? kidney disease with cloudy
a) A client who has illeal conduit and mucus in the diasylate outflow
pouch
b) Client pleasant arteriovenous additional vibration
palpated
c) A client whose chronic kidney disease with cloudy
diasylate outflow
d) A client was transurethral resection of the prostate
with a red tinged urine in the bag
8. A nurse is caring for a client just received the first dose c) Provide standby assist
of lisinopril. The following is an appropriate nursing with the client from bed
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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
9. A nurse is caring for a client who is in labor and his seat d) Head Compression
is receiving electronic fetal monitoring. The nurse is
reviewing the monitor tracing and notes early deceler-
ations. Which the following should the nurse expect?
a) Feta hypoxia
b) Abrupto placentae
c) Post maturity
d) Head Compression
10. A nurse is caring for a client who has chronic kidney a) glomerular filtration
disease. The nurse should identify which of the follow- rate of 14 mL/ minute
ing laboratory values as in an indication for hemodial-
ysis?
a) glomerular filtration rate of 14 mL/ minute
b) BUN 16 mg/DL
c) serum magnesium 1.8 mg mg/dl
d) Serum phosphorus 4.0 mg/dL
11. A nurse is caring for an infant who has a prescription c) Heat the skin one
for continuous pulse oximetry. The following is an minute prior to placing the
appropriate action for the nurse to take? program
a) Placed infant under radiant warmer
b) Move the probe site every 3 hours
c) Heat the skin one minute prior to placing the pro-
gram
d) Placed a sensor on the index finger
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12. A nurse in a mental health facility receives a change a) Client placed in re-
of shift report on for clients. Which of the following straints to the aggressive
clients should the nurse plan to assess first? behavior
a) Client placed in restraints to the aggressive behav-
ior
b) A new limited client pleasures history of 4.5 kg
weight loss in the past two months
c) Client is receiving a PRN dose of health heard all two
hours ago for increased anxiety
d) Applied he'll be receiving his first ECT treatment
today
13. A nurse working at the clinic is teaching a group of b) Hypnosis promotes in-
clients who are pregnant on the use of non-pharma- creased control of her
cological pain management. Which of the following pain perception during
statements by the nurse is an appropriate description contractions
of the use of hypnosis during labor?
a) Hypnosis focuses on the biofeedback as a relax-
ation technique
b) Hypnosis promotes increased control of her pain
perception during contractions
c) Hypnosis uses therapeutic touch to reduce anxiety
during labor
d) Hypnosis provides instruction to minimize pain
14. A nurse in a County Jail health clinic is leading group d) I think that people just
therapy session. A client who was incarcerated for you're just lazy and should
theft is addressing the group. Which of the following earn money honestly
is an example of reaction formation?
a) I steal things because it's the only way I can keep
my mind off my bad marriage
b) I can't believe I was accused of something I didn't