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1. Which of the following statements should the nurse Assessment for adolescent
include in the assessment? a) Tell me about your sib- with conduct disorder
lings 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. Which of the following actions by the client requires Nurse observing bonding
the nurse to intervene? a) Holding the newborn in with newborn
face position b) Asking the father to change the new-
born's diaper c) Requesting the nurse take the new-
born nursery so she can rest d) Viewing the newborn's
actions to be uncooperative
3. Which of the following findings should indicate that Effectiveness of levothy-
the medication is effective? a) Weight loss b) De- roxin
creased blood pressure c) Absence of seizures d) De-
crease inflammation
4. Which instructions would you include in the teaching? Discharge teaching for
a) Contact provider if the cord still turns black b) Clean cord care
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
5. Which of the following findings indicates decreased Indication of decreased
cardiac output? a) Shivering b) Oliguria c) Bradypnea cardiac output
d) Constricted pupils
6. Which of the following client should the nurse iden- Priority client in mass ca-
tify as the priority? a) A client that has massive head sualty triage
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
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7. Which of the following clients should the nurse assess Client with chronic kidney
first? c) A client whose chronic kidney disease with disease
cloudy diasylate outflow
8. A client who has ileal conduit and mucus in the pouch. Client with ileal conduit
9. Client pleasant arteriovenous additional vibration pal- Pleasant arteriovenous vi-
pated. bration
10. A client whose chronic kidney disease with cloudy di- Chronic kidney disease
asylate outflow.
11. A client was transurethral resection of the prostate Transurethral resection of
with a red tinged urine in the bag. the prostate
12. The following is an appropriate nursing intervention Lisinopril nursing inter-
for a client just received the first dose of lisinopril: vention
Provide standby assist with the client from bed.
13. The nurse should expect head compression when re- Early decelerations in la-
viewing the monitor tracing and notes early decelera- bor
tions.
14. The following laboratory value is an indication Indication for hemodialy-
for hemodialysis: glomerular filtration rate of 14 sis
mL/minute.
15. An appropriate action for the nurse to take is to heat Continuous pulse oxime-
the skin one minute prior to placing the program. try for infants
16. The nurse should plan to assess the client placed in Client in restraints
restraints due to aggressive behavior first.
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17. A new limited client has a history of 4.5 kg weight loss Weight loss in mental
in the past two months. health client
18. Client is receiving a PRN dose of health heard all two PRN dose for anxiety
hours ago for increased anxiety.
19. Applied he'll be receiving his first ECT treatment today. First ECT treatment
20. Hypnosis promotes increased control of her pain per- Hypnosis in labor
ception during contractions.
21. Focuses on the biofeedback as a relaxation technique. Hypnosis
22. Promotes increased control of pain perception during Hypnosis
contractions.
23. Uses therapeutic touch to reduce anxiety during labor. Hypnosis
24. Provides instruction to minimize pain. Hypnosis
25. An example is saying 'I steal things because it's the Reaction Formation
only way I can keep my mind off my bad marriage'.
26. Glaucoma is identified as a contraindication. Contraindication for
Isosorbide Mononitrate
27. Obtain a cardiac rehabilitation consult. Acute Myocardial Infarc-
tion Intervention
28. WBC 3,000/mm3 should be reported to the provider. Laboratory Value Report-
ing
29. Place a daily calendar in the kitchen. Alzheimer's Care Plan
30.