Latest Updated Questions and Answers
A nurse in an emergency department completes an assessment on an adolescent client
that has conduct disorder. The client threatened suicide to teacher at school. Which of t
he 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 - correctAanswers-
c) Tell me how often do you drink alcohol
A nurse is observing bonding to the client her newborn. Which of following actions by th
e 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 - correct answers-
d) Viewing the newborn's actions to be uncooperative
A nurse is caring for clientAwho is taking levothyroxin. Which of the following findings sh
ould indicate that the medication is effective?
a) Weight loss
b) Decreased blood pressure
c) Absence of seizures
d) Decrease inflammation - correctAanswers-a) Weight loss
A nurse is planning discharge teaching for cord care for the parent of a newborn. 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 - correct answers-
c) Keep the cord dry until it falls off
A nurse is assessing a client in the PACU. Which of the following findings indicates decr
eased cardiac output?
a) Shivering
b) Oliguria
c) Bradypnea
d) Constricted pupils - correct answers-b) Oliguria
A nurse is assisting with mass casualty triage: explosion at a local factory. 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 - correct answers-
c) A client with indications of hypovolemic shock
A nurse is a receiving report on four clients. Which of the following clients should the nur
se assess first?
a) A client who has illeal conduit and mucus in the pouch
b) Client pleasant arteriovenous additional vibration palpated
c) A client whose chronic kidney disease with cloudy diasylate outflow
d) A client was transurethral resection of the prostate with a red tinged urine in the bag -
correct answers-c) AAclient whose chronic kidney disease with cloudy diasylate outflow
A nurse is caring for a clientAjust received the first dose of lisinopril. The following is an a
ppropriate nursing intervention?
a) Place's cardiac monitoring
b) Monitor the clients oxygen saturation level
c) Provide standby assist with the client from bed
d) Encourage foods high in potassium - correct answers-
c) Provide standby assist with the client from bed
A nurse is caring for a clientAwho is in labor and his seat is receiving electronic fetal mon
itoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which
the following should the nurse expect?
a) Feta hypoxia
b) Abrupto placentae
c) Post maturity
d) Head Compression - correct answers-d) Head Compression
A nurse is caring for a clientAwho has chronic kidney disease. The nurse should identify
which of the following laboratory values as in an indication for hemodialysis?
a) glomerular filtration rate of 14 mL/ minute
b) BUN 16 mg/DL
c) serum magnesium 1.8 mg mg/dl
d) Serum phosphorus 4.0 mg/dL - correct answers-
a) glomerular filtration rate of 14 mL/ minute
A nurse is caring for an infantAwho has a prescription for continuous pulse oximetry. The
following is an appropriate action for the nurse to take?
a) Placed infant under radiant warmer
b) Move the probe site every 3 hours
c) Heat the skin one minute prior to placing the program
d) Placed a sensor on the index finger - correct answers-
c) Heat the skin one minute prior to placing the program
A nurse in a mental health facility receives a change of shift report on for clients. Which
of the following clients should the nurse plan to assess first?
a) Client placed in restraints to the aggressive behavior
b) A new limited client pleasures history of 4.5 kg weightAloss in the past two months
c) Client is receiving a PRN dose of health heard all two hours ago for increased anxiety
d) Applied he'll be receiving his first ECT treatment today - correctAanswers-
a) 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 non-
,pharmacological pain management. Which of the following statements by the nurse is a
n appropriate description of the use of hypnosis during labor?
a) Hypnosis focuses on the biofeedback as a relaxation technique
b) Hypnosis promotes increased control of her pain perception during contractions
c) Hypnosis uses therapeutic touch to reduce anxiety during labor
d) Hypnosis provides instruction to minimize pain - correct answers-
b) Hypnosis promotes increased control of her pain perception during contractions
A nurse in a County Jail health clinic is leading group therapy session. AAclient who was
incarcerated for theft is addressing the group. Which of the following is an example of re
action formation?
a) I steal things because it's the only way I can keep my mind off my bad marriage
b) I can't believe I was accused of something I didn't do
c) I don't want talk about my feelings right now. We will talk more next time
d) I thinkAthat people just you're just lazy and should earn money honestly -
correct answers-
d) I think that people just you're just lazy and should earn money honestly
A nurse is obtaining the medical history of a client who has a new prescription for isosor
bide monotitrate. Which of the following should the nurse identify as a contraindication t
o medication?
a) Glaucoma
b) Hypertension
c) Polycythemia
d) Migraine headaches - correct answers-a) Glaucoma
The nurses is caring for a client recovering from an acute myocardial infarction. Which f
ollowing
intervention should the nurse include in the point of care?
a) Draw a troponin level every four hours
b) Performance EKG every 12 hours
c) Plant oxygen tent fell over minutes via rebreather mask
d) Obtain a cardiac rehabilitation consultA- correct answers-
d) Obtain a cardiac rehabilitation consult
A Nurses caring for client who has breast cancer and has been covering receiving chem
otherapy. Which of
the following laboratory values should nurse reportAto provider?
a) WBC 3,000/mm3
b) Hemoglobin 14 g/dl
c) Platelet 250,000/mm3
d) aPTT 30 seconds - correct answers-a) 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
a) Place a daily calendar in the kitchen
b) Replace button clothing with zippered items
c) Replace the carpetAwith hardwood floors
d) Create variation in daily routine - correct answers-
a) Place a daily calendar in the kitchen
, Nurse is performing change of shift assessments on 4 clients. Which of the following fin
dings should the
nurse report to provider first?
a) The client was cystic fibrosis and has a thick productive clock and reports thirst
b) Client who has gastroenteritis and is lethargic and confused
c) The Client has diabetes mellitus has morning fasting Legal cost of 185 mg over deal
d) The client was sick of signing it reports pain 15 minutes after receiving oral analgesic
- correct answers-b) Client who has gastroenteritis and is lethargic and confused
A nurse is caring for a clientAwas in the second trimester of pregnancy and asks how to t
reat constipation.
Which of the following statements by the nurse is appropriate?
a) Decrease taking vitamins and supplements to every other day
b) Eat 15 g of fiber per day
c) Consume 48 ounces of water each day
d) Drink hot water with lemon juice each morning when you wake up - correct answers-
d) Drink hot water with lemon juice each morning when you wake up
A nurse is caring for a clientAwho is preparing his advance directives. Which is the follow
ing statements by
the client indicates an understanding of advanced directives? select all that apply
a) I can't change my instructions once a minute
b) My doctor will need to approve my advance directives
c) I need an attorney to witness my signature on the advance directives
d) I have the right to refuse treatment
e) My health care proxy can make medical decisions for me - correct answers-
d) I have the right to refuse treatment
e) My health care proxy can make medical decisions for me
A nurse is caring for a clientAwho is at 32 weeks gestation and has a history of cardiac di
sease. Which of
the following positions should the nurse place the client to best promote optimal cardiac
output?
a) The chest
b) Standing
c) Supine
d) LeftAlateral - correct answers-d) Left lateral
A nurse is caring for a group of clients. Which of the following clients should the nurse a
ssign to an AP?
a) Client who has chronic obstructive pulmonary disease and needs guidance on incenti
ve spirometry
b) Client who has awoken following a bronchoscopy and requests a drink
c) Client who had a myocardial infarction 3 days ago reports chest discomfort
d) Client who had a cerebrovascular accidentAtwo days ago and needs help toileting -
correct answers-
d) Client who had a cerebrovascular accidentAtwo days ago and needs help toileting
Nurse providing discharge teaching to the client who has schizophrenia and is starting t
herapy with