2025 Questions and Answers
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 - ANSWER -
Assessment for adolescent with conduct disorder
Which of the following actions by the client requires the nurse to intervene? 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 - ANSWER -Nurse observing bonding
with newborn
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 - ANSWER -Effectiveness of levothyroxin
Which instructions would you include in the teaching? a) Contact provider if the cord
still turns black b) Clean 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 - ANSWER -
Discharge teaching for cord care
Which of the following findings indicates decreased cardiac output? a) Shivering b)
Oliguria c) Bradypnea d) Constricted pupils - ANSWER -Indication of decreased
cardiac output
Which of the following client 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 - ANSWER -Priority client in mass casualty triage
Which of the following clients should the nurse assess first? c) A client whose
chronic kidney disease with cloudy diasylate outflow - ANSWER -Client with chronic
kidney disease
A client who has ileal conduit and mucus in the pouch. - ANSWER -Client with ileal
conduit
Client pleasant arteriovenous additional vibration palpated. - ANSWER -Pleasant
arteriovenous vibration
A client whose chronic kidney disease with cloudy diasylate outflow. - ANSWER -
Chronic kidney disease
A client was transurethral resection of the prostate with a red tinged urine in the bag.
- ANSWER -Transurethral resection of the prostate
,The following is an appropriate nursing intervention for a client just received the first
dose of lisinopril: Provide standby assist with the client from bed. - ANSWER -
Lisinopril nursing intervention
The nurse should expect head compression when reviewing the monitor tracing and
notes early decelerations. - ANSWER -Early decelerations in labor
The following laboratory value is an indication for hemodialysis: glomerular filtration
rate of 14 mL/minute. - ANSWER -Indication for hemodialysis
An appropriate action for the nurse to take is to heat the skin one minute prior to
placing the program. - ANSWER -Continuous pulse oximetry for infants
The nurse should plan to assess the client placed in restraints due to aggressive
behavior first. - ANSWER -Client in restraints
A new limited client has a history of 4.5 kg weight loss in the past two months. -
ANSWER -Weight loss in mental health client
Client is receiving a PRN dose of health heard all two hours ago for increased
anxiety. - ANSWER -PRN dose for anxiety
Applied he'll be receiving his first ECT treatment today. - ANSWER -First ECT
treatment
Hypnosis promotes increased control of her pain perception during contractions. -
ANSWER -Hypnosis in labor
Focuses on the biofeedback as a relaxation technique. - ANSWER -Hypnosis
Promotes increased control of pain perception during contractions. - ANSWER -
Hypnosis
Uses therapeutic touch to reduce anxiety during labor. - ANSWER -Hypnosis
Provides instruction to minimize pain. - ANSWER -Hypnosis
An example is saying 'I steal things because it's the only way I can keep my mind off
my bad marriage'. - ANSWER -Reaction Formation
Glaucoma is identified as a contraindication. - ANSWER -Contraindication for
Isosorbide Mononitrate
Obtain a cardiac rehabilitation consult. - ANSWER -Acute Myocardial Infarction
Intervention
WBC 3,000/mm3 should be reported to the provider. - ANSWER -Laboratory Value
Reporting
, Place a daily calendar in the kitchen. - ANSWER -Alzheimer's Care Plan
Client who has gastroenteritis and is lethargic and confused should be reported first.
- ANSWER -Gastroenteritis Assessment
A genetic disorder that affects the lungs and digestive system, characterized by
thick, sticky mucus production. - ANSWER -Cystic Fibrosis
An inflammation of the stomach and intestines, often resulting in vomiting and
diarrhea. - ANSWER -Gastroenteritis
A chronic condition characterized by high blood sugar levels due to insulin resistance
or insufficient insulin production. - ANSWER -Diabetes Mellitus
A measurement of blood sugar levels after fasting overnight, with a normal range
typically below 100 mg/dL. - ANSWER -Morning Fasting Blood Glucose
A medication taken by mouth to relieve pain. - ANSWER -Oral Analgesic
Recommendations for managing constipation during pregnancy include increasing
fiber intake to 15 g per day and consuming 48 ounces of water daily. - ANSWER -
Constipation Treatment
Legal documents that allow individuals to outline their preferences for medical
treatment in case they become unable to communicate their wishes. - ANSWER -
Advance Directives
The legal right of a patient to decline medical treatment. - ANSWER -Right to Refuse
Treatment
A person designated to make medical decisions on behalf of another individual if
they are unable to do so. - ANSWER -Health Care Proxy
The left lateral position is recommended for pregnant clients with a history of cardiac
disease to promote optimal cardiac output. - ANSWER -Optimal Cardiac Output
Position
A group of lung diseases that block airflow and make it difficult to breathe. -
ANSWER -Chronic Obstructive Pulmonary Disease (COPD)
A device used to help patients improve the functioning of their lungs by encouraging
deep breathing. - ANSWER -Incentive Spirometry
A medical condition commonly known as a stroke, which occurs when blood flow to
the brain is interrupted. - ANSWER -Cerebrovascular Accident
A treatment for schizophrenia that requires monitoring for side effects, including
fever, which is a priority symptom to report. - ANSWER -Clozapine Therapy