Question 1
1. The nurse is has just admitted a client with severe depression. From which focus should
the nurse identify a priority nursing diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety
CORRECT ANSWER
The correct answer is D: Safety
Question 2
2. While explaining an illness to a 10 year-old, what should the nurse keep in mind
aboutthe cognitive development at this age?
A) They are able to make simple association of ideas
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own perspective D) Conclusions are based on
previous experiences
CORRECT ANSWER
The correct answer is B: Think logically in organizing facts
Question 3
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,3. The nurse enters the room as a 3 year-old is having a generalized seizure. Which
intervention should the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant
CORRECT ANSWER
The correct answer is B: Place the child on the side
Question 4
4. The nurse is reviewing a depressed client's history from an earlier admission.
Documentation of anhedonia is noted. The nurse understands that this finding refers to A)
Reports of difficulty falling and staying asleep
B) Expression of persistent suicidal thoughts
C) Lack of enjoyment in usual pleasures
D) Reduced senses of taste and smell
CORRECT ANSWER
The correct answer is C: Lack of enjoyment in usual pleasures
Question 5
5. A client has just returned to the medical-surgical unit following a segmental lung
resection. After assessing the client, the first nursing action would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breathe and cough
D) Monitor oxygen saturation
CORRECT ANSWER
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,The correct answer is B: Suction excessive tracheobronchial secretions
Question 6
6. While assessing a client in an outpatient facility with a panic disorder, the nurse
completes a thorough health history and physical exam. Which finding is most
significantfor this client? A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes
CORRECT ANSWER
The correct answer is B: Sense of impending doom
Question 7
7. A 16 month-old child has just been admitted to the hospital. As the nurse assigned to
this child enters the hospital room for the first time, the toddler runs to the mother,
clingsto her and begins to cry. What would be the initial action by the nurse?
A) Arrange to change client care assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of "time-out" D) Explain that the child needs extra attention
CORRECT ANSWER
The correct answer is B: Explain that this behavior is expected
Question 8
8. A 15 year-old client with a lengthy confining illness is at risk for altered growth and
development of which task?
A) Loss of control
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, B) Insecurity
C) Dependence D) Lack of trust
CORRECT ANSWER
The correct answer is C: Dependence
Question 9
9. Which playroom activities should the nurse organize for a small group of 7 year-old
hospitalized children?
A) Sports and games with rules B) Finger paints and water play C) "Dress-up" clothes and
props D) Chess and television programs
CORRECT ANSWER
The correct answer is A: Sports and games with rules
Question 10
10. The nurse is discussing dietary intake with an adolescent who has acne. The most
appropriate statement for the nurse is
A) "Eat a balanced diet for your age."
B) "Increase your intake of protein and Vitamin A."
C) "Decrease fatty foods from your diet."
D) "Do not use caffeine in any form, including chocolate."
CORRECT ANSWER
The correct answer is A: "Eat a balanced diet for your age."
Question 11
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1. The nurse is has just admitted a client with severe depression. From which focus should
the nurse identify a priority nursing diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety
CORRECT ANSWER
The correct answer is D: Safety
Question 2
2. While explaining an illness to a 10 year-old, what should the nurse keep in mind
aboutthe cognitive development at this age?
A) They are able to make simple association of ideas
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own perspective D) Conclusions are based on
previous experiences
CORRECT ANSWER
The correct answer is B: Think logically in organizing facts
Question 3
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,3. The nurse enters the room as a 3 year-old is having a generalized seizure. Which
intervention should the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant
CORRECT ANSWER
The correct answer is B: Place the child on the side
Question 4
4. The nurse is reviewing a depressed client's history from an earlier admission.
Documentation of anhedonia is noted. The nurse understands that this finding refers to A)
Reports of difficulty falling and staying asleep
B) Expression of persistent suicidal thoughts
C) Lack of enjoyment in usual pleasures
D) Reduced senses of taste and smell
CORRECT ANSWER
The correct answer is C: Lack of enjoyment in usual pleasures
Question 5
5. A client has just returned to the medical-surgical unit following a segmental lung
resection. After assessing the client, the first nursing action would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breathe and cough
D) Monitor oxygen saturation
CORRECT ANSWER
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,The correct answer is B: Suction excessive tracheobronchial secretions
Question 6
6. While assessing a client in an outpatient facility with a panic disorder, the nurse
completes a thorough health history and physical exam. Which finding is most
significantfor this client? A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes
CORRECT ANSWER
The correct answer is B: Sense of impending doom
Question 7
7. A 16 month-old child has just been admitted to the hospital. As the nurse assigned to
this child enters the hospital room for the first time, the toddler runs to the mother,
clingsto her and begins to cry. What would be the initial action by the nurse?
A) Arrange to change client care assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of "time-out" D) Explain that the child needs extra attention
CORRECT ANSWER
The correct answer is B: Explain that this behavior is expected
Question 8
8. A 15 year-old client with a lengthy confining illness is at risk for altered growth and
development of which task?
A) Loss of control
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, B) Insecurity
C) Dependence D) Lack of trust
CORRECT ANSWER
The correct answer is C: Dependence
Question 9
9. Which playroom activities should the nurse organize for a small group of 7 year-old
hospitalized children?
A) Sports and games with rules B) Finger paints and water play C) "Dress-up" clothes and
props D) Chess and television programs
CORRECT ANSWER
The correct answer is A: Sports and games with rules
Question 10
10. The nurse is discussing dietary intake with an adolescent who has acne. The most
appropriate statement for the nurse is
A) "Eat a balanced diet for your age."
B) "Increase your intake of protein and Vitamin A."
C) "Decrease fatty foods from your diet."
D) "Do not use caffeine in any form, including chocolate."
CORRECT ANSWER
The correct answer is A: "Eat a balanced diet for your age."
Question 11
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