,A nurse, an emergency department complete an assessment on an adolescent client
that has conduct disorder. The client threaten suicide to a teacher at school which of the
following statements should the nurse include in the assessment. - ✔✔ANSW✔✔..Tell
me how often do you drink alcohol?
A nurse is observing bonding to the client, her newborn, which of the following actions
by the client requires the nurse to intervene - ✔✔ANSW✔✔..Viewing the newborn's
actions to be uncooperative
A nurse is caring for a client who is taking levothyroxine, which of the following finding
should indicate that the medication was effective - ✔✔ANSW✔✔..Weight loss
A nurse in a County Jail health clinic is leading group therapy session. A client who was
incarcerated for theft is addressing the group. Which of the following is an example of
reaction formation? - ✔✔ANSW✔✔..I think that people just you're just lazy and should
earn money honestly
A nurse is obtaining a medical history of a client who has a new prescription for
Isosorbide monotitrate which of the following should the nurse identify as a
contraindication to medication - ✔✔ANSW✔✔..glaucoma
16 - ✔✔ANSW✔✔..No questions
A nurse is planning, discharge teaching for cord care for a parent of a newborn which
instructions would you include in the teaching - ✔✔ANSW✔✔..Keep the cord dry until it
falls off (cord should be kept clean and dry to prevent infection)
A nurse is assessing a client in PACU, which of the following findings indicates
decreased cardiac output - ✔✔ANSW✔✔..oliguria
A nurse is assisting with mass, casualty triage explosion at a local factory which of the
following client. Should the nurse identify as a priority. - ✔✔ANSW✔✔..A client with
indications of hypovolemic shock
A nurse is receiving report on for clients which of the following client should the nurse
assess first - ✔✔ANSW✔✔..A client who is chronic kidney disease with cloudy,
diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is
appropriate nursing intervention. - ✔✔ANSW✔✔..Provide standby assist with the client
from bed
, A nurse is caring for a client who is in labor, and is receiving electronics fetal monitoring.
The nurse is reviewing the monitor tracing in notes early decelerations, which of the
following should the nurse expect - ✔✔ANSW✔✔..Head compression
A nurse is caring for a client who has chronic kidney disease. The nurse should identify
which of the following laboratory values as an indication of hemodialysis. -
✔✔ANSW✔✔..Glomerular filtration rate of 14 ML/minute
A nurse is caring for an infant who has prescription for continuous pulse oximetry. The
following is an appropriate action for the nurse to take. - ✔✔ANSW✔✔..Heat the skin
one minute prior to placing the program
A nurse in a mental health facility receives a change of shift report on four clients which
of the following client. Should the nurse plan to assess first. - ✔✔ANSW✔✔..Client
placed in restraints to the aggressive behavior
A nurse working at the clinic is teaching a group of clients who are pregnant on the use
of nonpharmacological pain management, which of the following statement by the nurse
is an appropriate description of the use of hypnosis during labor -
✔✔ANSW✔✔..Hypnosis promotes increase control of her pain perception during
contractions
The nurse is caring for a client recovering from an acute myocardial infraction, which of
the following intervention should the nurse include in the point of care -
✔✔ANSW✔✔..Obtain a cardiac rehabilitation consult
A nurse is caring for a client who has breast cancer and has been covering receiving
chemotherapy, which of the following laboratory value should nurse report to the
provider - ✔✔ANSW✔✔..WBC 3,000/mm3
Home health nurse is carefully planned for Alzheimer's disease to the following action.
Should the nurse include in the plan of care - ✔✔ANSW✔✔..Place a daily calendar in
the kitchen
A nurse is performing change of shift assessments on four clients which of the following
findings. Should the nurse report to the provider first. - ✔✔ANSW✔✔..Client who has
gastroenteritis and his lethargic and confused
A nurse is caring for a client who is in the second trimester of pregnancy and ask how to
treat constipation which of the following statements by the nurse is appropriate -
✔✔ANSW✔✔..Drink hot water with lemon juice each morning when you wake up
22 - ✔✔ANSW✔✔..No question
that has conduct disorder. The client threaten suicide to a teacher at school which of the
following statements should the nurse include in the assessment. - ✔✔ANSW✔✔..Tell
me how often do you drink alcohol?
A nurse is observing bonding to the client, her newborn, which of the following actions
by the client requires the nurse to intervene - ✔✔ANSW✔✔..Viewing the newborn's
actions to be uncooperative
A nurse is caring for a client who is taking levothyroxine, which of the following finding
should indicate that the medication was effective - ✔✔ANSW✔✔..Weight loss
A nurse in a County Jail health clinic is leading group therapy session. A client who was
incarcerated for theft is addressing the group. Which of the following is an example of
reaction formation? - ✔✔ANSW✔✔..I think that people just you're just lazy and should
earn money honestly
A nurse is obtaining a medical history of a client who has a new prescription for
Isosorbide monotitrate which of the following should the nurse identify as a
contraindication to medication - ✔✔ANSW✔✔..glaucoma
16 - ✔✔ANSW✔✔..No questions
A nurse is planning, discharge teaching for cord care for a parent of a newborn which
instructions would you include in the teaching - ✔✔ANSW✔✔..Keep the cord dry until it
falls off (cord should be kept clean and dry to prevent infection)
A nurse is assessing a client in PACU, which of the following findings indicates
decreased cardiac output - ✔✔ANSW✔✔..oliguria
A nurse is assisting with mass, casualty triage explosion at a local factory which of the
following client. Should the nurse identify as a priority. - ✔✔ANSW✔✔..A client with
indications of hypovolemic shock
A nurse is receiving report on for clients which of the following client should the nurse
assess first - ✔✔ANSW✔✔..A client who is chronic kidney disease with cloudy,
diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is
appropriate nursing intervention. - ✔✔ANSW✔✔..Provide standby assist with the client
from bed
, A nurse is caring for a client who is in labor, and is receiving electronics fetal monitoring.
The nurse is reviewing the monitor tracing in notes early decelerations, which of the
following should the nurse expect - ✔✔ANSW✔✔..Head compression
A nurse is caring for a client who has chronic kidney disease. The nurse should identify
which of the following laboratory values as an indication of hemodialysis. -
✔✔ANSW✔✔..Glomerular filtration rate of 14 ML/minute
A nurse is caring for an infant who has prescription for continuous pulse oximetry. The
following is an appropriate action for the nurse to take. - ✔✔ANSW✔✔..Heat the skin
one minute prior to placing the program
A nurse in a mental health facility receives a change of shift report on four clients which
of the following client. Should the nurse plan to assess first. - ✔✔ANSW✔✔..Client
placed in restraints to the aggressive behavior
A nurse working at the clinic is teaching a group of clients who are pregnant on the use
of nonpharmacological pain management, which of the following statement by the nurse
is an appropriate description of the use of hypnosis during labor -
✔✔ANSW✔✔..Hypnosis promotes increase control of her pain perception during
contractions
The nurse is caring for a client recovering from an acute myocardial infraction, which of
the following intervention should the nurse include in the point of care -
✔✔ANSW✔✔..Obtain a cardiac rehabilitation consult
A nurse is caring for a client who has breast cancer and has been covering receiving
chemotherapy, which of the following laboratory value should nurse report to the
provider - ✔✔ANSW✔✔..WBC 3,000/mm3
Home health nurse is carefully planned for Alzheimer's disease to the following action.
Should the nurse include in the plan of care - ✔✔ANSW✔✔..Place a daily calendar in
the kitchen
A nurse is performing change of shift assessments on four clients which of the following
findings. Should the nurse report to the provider first. - ✔✔ANSW✔✔..Client who has
gastroenteritis and his lethargic and confused
A nurse is caring for a client who is in the second trimester of pregnancy and ask how to
treat constipation which of the following statements by the nurse is appropriate -
✔✔ANSW✔✔..Drink hot water with lemon juice each morning when you wake up
22 - ✔✔ANSW✔✔..No question
