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1. A nurse, an emergency department complete an as- Tell me how often do you
sessment on an adolescent client that has conduct drink alcohol?
disorder. The client threaten suicide to a teacher at
school which of the following statements should the
nurse include in the assessment.
2. A nurse is observing bonding to the client, her new- Viewing the newborn's ac-
born, which of the following actions by the client re- tions to be uncooperative
quires the nurse to intervene
3. A nurse is caring for a client who is taking levothyrox- Weight loss
ine, which of the following finding should indicate that
the medication was effective
4. A nurse is planning, discharge teaching for cord care Keep the cord dry until it
for a parent of a newborn which instructions would falls off (cord should be
you include in the teaching kept clean and dry to pre-
vent infection)
5. A nurse is assessing a client in PACU, which of the oliguria
following findings indicates decreased cardiac output
6. A nurse is assisting with mass, casualty triage explo- A client with indications of
sion at a local factory which of the following client. hypovolemic shock
Should the nurse identify as a priority.
7. A nurse is receiving report on for clients which of the A client who is chronic kid-
following client should the nurse assess first ney disease with cloudy,
diasylate outflow
8. A nurse is caring for a client just received the first Provide standby assist
dose of lisinopril. The following is appropriate nursing with the client from bed
intervention.
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9. A nurse is caring for a client who is in labor, and is Head compression
receiving electronics fetal monitoring. The nurse is
reviewing the monitor tracing in notes early decelera-
tions, which of the following should the nurse expect
10. A nurse is caring for a client who has chronic kidney Glomerular filtration rate
disease. The nurse should identify which of the follow- of 14 ML/minute
ing laboratory values as an indication of hemodialysis.
11. A nurse is caring for an infant who has prescription Heat the skin one minute
for continuous pulse oximetry. The following is an prior to placing the pro-
appropriate action for the nurse to take. gram
12. A nurse in a mental health facility receives a change Client placed in restraints
of shift report on four clients which of the following to the aggressive behavior
client. Should the nurse plan to assess first.
13. A nurse working at the clinic is teaching a group of Hypnosis promotes in-
clients who are pregnant on the use of nonpharma- crease control of her pain
cological pain management, which of the following perception during con-
statement by the nurse is an appropriate description tractions
of the use of hypnosis during labor
14. A nurse in a County Jail health clinic is leading group 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?
15. A nurse is obtaining a medical history of a client who glaucoma
has a new prescription for Isosorbide monotitrate
which of the following should the nurse identify as a
contraindication to medication
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16. 16 No questions
17. The nurse is caring for a client recovering from an Obtain a cardiac rehabili-
acute myocardial infraction, which of the following tation consult
intervention should the nurse include in the point of
care
18. A nurse is caring for a client who has breast cancer and WBC 3,000/mm3
has been covering receiving chemotherapy, which of
the following laboratory value should nurse report to
the provider
19. Home health nurse is carefully planned for Place a daily calendar in
Alzheimer's disease to the following action. Should the kitchen
the nurse include in the plan of care
20. A nurse is performing change of shift assessments on Client who has gastroen-
four clients which of the following findings. Should the teritis and his lethargic
nurse report to the provider first. and confused
21. A nurse is caring for a client who is in the second Drink hot water with
trimester of pregnancy and ask how to treat constipa- lemon juice each morning
tion which of the following statements by the nurse is when you wake up
appropriate
22. 22 No question
23. A nurse is caring for a client who is preparing his I have the right to refuse
advance directives, which of the following statements treatment
by the client indicates an understanding of advance
directives SATA My health care proxy can
make medical decisions
for me