QUESTIONS AND ANSWERS 100% CORRECT
AND UPDATED!!
,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
, 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