Comprehensive Questions with
Verified Answers Graded A+
A nurse is talking with the parent of a 6-year-old regarding sleep and rest. Which information
should be included? - Answer: A. Active play before bedtime promotes restful sleep
B. Bedtime hours should be established
C. Rest needs are related to the high rate of growth in this age group
D. 7-8 hours of sleep are required
B
A client with generalized anxiety disorder is referred to outpatient mental health department
for cognitive behavioral therapy (CBT). The CBT includes which interventions and strategies?
SATA - Answer: 1. Desensitization to a specific stimulus or situation
2. Discussing the interpersonal difficulties that have led to the client's psychological problems
3. Helping the client to develop insight into the psychological causes of the disorder
4. Relaxation techniques
,5. Self-observation and monitoring
6. Teaching new coping skills and techniques to reframe thinking
1,4,5,6
A nurse is participating in an obstetrical emergency simulation in which the health care provider
announces shoulder dystocia. Which of the following interventions should the assisting nurse
implement? SATA - Answer: 1. Assist maternal pushing efforts by applying fundal pressuring
during each contraction
2. Document the time the fetal head was born
3. Flex the client's legs back against the abdomen and apply downward pressure above the
symphysis pubis
4. Prepare for a forceps-assisted birth
5. Request additional assistance from other nurses immediately
2,3,5
Upon arrival in the post-anesthesia care unit, the. nurse performs the initial assessment of a
client who had surgery under general anesthesia. Which assessment finding prompts the n
nurse to notify the health care provider immediately - Answer: 1. Difficult to arouse
2. Muscle stiffness
3. Pinpoint pupils
4. Temperature 94F (34.4 C)
, 2
The nurse receives the hand-off shift report on assigned clients. Which information is most
concerning and prompts the nurse to assess that client first - Answer: 1. Client 1 day post coli
resection who is receiving continual epidural morphine and reports severe itching
2. Client admitted 2 hrs ago with gastroenteritis who has been vomiting for 36 hrs and has
muscle cramps and weakness
3. Client who has received IV bumetanide for 3 days for heart failure and experiences dizziness
when standing up
4. Client with acute poststreptococcal glomerulonephritis who is receiving antibiotics and has
gross hematuria
2
A 62-year-old client was admitted to the telemetry unit after having an acute myocardial
infarction 3 days ago. The client reports to the nurse that the left calf is very tender and feels
warm to the touch. Which assessment by the nurse is the priority? - Answer: 1. Ask the client
how ling the leg has been tender and warm
2. Assess the ECG for any ectopic beats
3. Check vital signs including pulse oximetry
4. Complete neuromuscular assessment on the lower extremities