completes an assessment on an
adolescent client that has conduct
disorder. The client threatened suicide to
teacher at school. 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
,*A nurse is observing bonding to the d) Viewing the newborn's actions to be uncooperative
client her newborn. Which of following
actions by the client requires
the nurse to intervene?
a) Holding the newborn in an en 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
A nurse is caring for client who is taking a) Weight loss (this drug acts as T4 and will normalize the effects of
levothyroxine. Which of the following hypothyroidism)
findings should indicate that
the medication is effective?
a) Weight loss
b) Decreased blood pressure
c) Absence of seizures
d) Decrease inflammation
,A nurse is planning discharge teaching c) Keep the cord dry until it falls off
for cord care for the parent of a
newborn. Which instructions would a) Contact provider if the cord still turns black (it's going to turn black)
you include in the teaching? b) Clean the base of the cord with hydrogen peroxide daily (clean with neu
a) Contact provider if the cord still turns pH cleanser)
black c) Keep the cord dry until it falls off (cord should be kept clean and dry to
b) Clean the base of the cord with prevent infection)
hydrogen peroxide daily d) The cord stump will fall off in five days (cord falls off in 10-14 days
c) Keep the cord dry until it falls off
d) The cord stump will fall off in five days
A nurse is assessing a client in the PACU. b) Oliguria
Which of the following findings indicates
decreased cardiac
output?
a) Shivering
b) Oliguria
c) Bradypnea
d) Constricted pupil
, A nurse is assisting with mass casualty c) A client with indications of hypovolemic shock
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