108- A nurse working the evening shift is helping clients get ready for sleep. A female
client with mania is hyperactive and pacing the hallway. The appropriate nursing
action is to:
A. Stay with the client and observe her behavior
B. Take the client to the bathroom and provide her with a warm bath
C. Tell the client that it is time for sleep and that she needs to go to her room
D. Tell the client that other clients are trying to sleep and that she is being disruptive
Give this one a try later!
B. Take the client to the bathroom and provide her with a warm bath
79- A maternity nurse providing an education session to a group of expectant
mothers describes the purpose of the placenta. Which statement by one of the
women attending the session indicates a need for further discussion of the purpose of
the placenta?
,A. "Many of my antibodies are passed through the placenta."
B. "The placenta maintains the body temperature of my baby."
C. "Glucose, vitamins, and electrolytes pass through the placenta."
D. "It provides an exchange of oxygen and carbon dioxide between me and my
baby."
Give this one a try later!
B. "The placenta maintains the body temperature of my baby."
75 -A nurse is caring for a client with a diagnosis of abruptio placentae. For which
early signs of hypovolemic shock does the nurse closely monitor the client? Select all
that apply.
A. Tachycardia Correct
B. Cool, clammy skin
C. Decreased respiratory rate
D. Diminished peripheral pulses Correct
E. Urine output of less than 30 mL/hr
Give this one a try later!
A. Tachycardia Correct
D. Diminished peripheral pulses Correct
106 A client with depression is being encouraged to attend art therapy as part of the
treatment plan. The client refuses, stating, "I can't draw or paint." Which of the
following responses by the nurse is therapeutic?
A. "Why don't you really want to attend?"
B. "This is what your physician has prescribed for you as part of the treatment plan."
C. "OK, let's have you attend music therapy. You can sing there. How does that
,sound?"
D. "Perhaps you could attend and talk to the other clients and see what they're
drawing and painting."
Give this one a try later!
D. "Perhaps you could attend and talk to the other clients and see what
they're drawing and painting."
46 A nurse caring for a client with pre-eclampsia prepares for the administration of an
intravenous infusion of magnesium sulfate. Which of the following substances does
the nurse ensure is available at the client's bedside?
A. Vitamin K
B. Protamine sulfate
C. Potassium chloride
D. Calcium gluconate
Give this one a try later!
D. Calcium gluconate
85- A client who has undergone abdominal hysterectomy asks the nurse when she will
be able to resume sexual intercourse. The nurse tells the client that sexual intercourse
may be resumed:
A. At any time after the surgery
B. When menstruation resumes
C. When pelvic sensation and response to stimuli return
D. In about 6 weeks, when the vaginal vault is satisfactorily healed
Give this one a try later!
, D. In about 6 weeks, when the vaginal vault is satisfactorily healed
6 A client who recently underwent coronary artery bypass graft surgery comes to the
physician's office for a follow-up visit. On assessment, the client tells the nurse that he
is feeling depressed. Which response by the nurse is therapeutic?
A. "Tell me more about what you're feeling."
B. "That's a normal response after this type of surgery."
C. "It will take time, but, I promise you, you will get over this depression."
D. "Every client who has this surgery feels the same way for about a month."
Give this one a try later!
A. "Tell me more about what you're feeling."
64 A home care nurse visits a mother who delivered a healthy newborn 4 days ago
and assesses how the mother is doing breastfeeding her infant. What does the nurse
ask the mother to do to permit assessment of whether the infant is receiving an
adequate amount of milk?
A. Count the number of times that the infant swallows during a feeding
B. Weigh the infant every day and check for a daily weight gain of 2 oz
C. Count wet diapers to be sure that the infant is having at least six to 10 each day
D. Pump the breasts, place the milk in a bottle, measure the amount, and then bottle-
feed the infant
Give this one a try later!
C. Count wet diapers to be sure that the infant is having at least six to 10
each day
client with mania is hyperactive and pacing the hallway. The appropriate nursing
action is to:
A. Stay with the client and observe her behavior
B. Take the client to the bathroom and provide her with a warm bath
C. Tell the client that it is time for sleep and that she needs to go to her room
D. Tell the client that other clients are trying to sleep and that she is being disruptive
Give this one a try later!
B. Take the client to the bathroom and provide her with a warm bath
79- A maternity nurse providing an education session to a group of expectant
mothers describes the purpose of the placenta. Which statement by one of the
women attending the session indicates a need for further discussion of the purpose of
the placenta?
,A. "Many of my antibodies are passed through the placenta."
B. "The placenta maintains the body temperature of my baby."
C. "Glucose, vitamins, and electrolytes pass through the placenta."
D. "It provides an exchange of oxygen and carbon dioxide between me and my
baby."
Give this one a try later!
B. "The placenta maintains the body temperature of my baby."
75 -A nurse is caring for a client with a diagnosis of abruptio placentae. For which
early signs of hypovolemic shock does the nurse closely monitor the client? Select all
that apply.
A. Tachycardia Correct
B. Cool, clammy skin
C. Decreased respiratory rate
D. Diminished peripheral pulses Correct
E. Urine output of less than 30 mL/hr
Give this one a try later!
A. Tachycardia Correct
D. Diminished peripheral pulses Correct
106 A client with depression is being encouraged to attend art therapy as part of the
treatment plan. The client refuses, stating, "I can't draw or paint." Which of the
following responses by the nurse is therapeutic?
A. "Why don't you really want to attend?"
B. "This is what your physician has prescribed for you as part of the treatment plan."
C. "OK, let's have you attend music therapy. You can sing there. How does that
,sound?"
D. "Perhaps you could attend and talk to the other clients and see what they're
drawing and painting."
Give this one a try later!
D. "Perhaps you could attend and talk to the other clients and see what
they're drawing and painting."
46 A nurse caring for a client with pre-eclampsia prepares for the administration of an
intravenous infusion of magnesium sulfate. Which of the following substances does
the nurse ensure is available at the client's bedside?
A. Vitamin K
B. Protamine sulfate
C. Potassium chloride
D. Calcium gluconate
Give this one a try later!
D. Calcium gluconate
85- A client who has undergone abdominal hysterectomy asks the nurse when she will
be able to resume sexual intercourse. The nurse tells the client that sexual intercourse
may be resumed:
A. At any time after the surgery
B. When menstruation resumes
C. When pelvic sensation and response to stimuli return
D. In about 6 weeks, when the vaginal vault is satisfactorily healed
Give this one a try later!
, D. In about 6 weeks, when the vaginal vault is satisfactorily healed
6 A client who recently underwent coronary artery bypass graft surgery comes to the
physician's office for a follow-up visit. On assessment, the client tells the nurse that he
is feeling depressed. Which response by the nurse is therapeutic?
A. "Tell me more about what you're feeling."
B. "That's a normal response after this type of surgery."
C. "It will take time, but, I promise you, you will get over this depression."
D. "Every client who has this surgery feels the same way for about a month."
Give this one a try later!
A. "Tell me more about what you're feeling."
64 A home care nurse visits a mother who delivered a healthy newborn 4 days ago
and assesses how the mother is doing breastfeeding her infant. What does the nurse
ask the mother to do to permit assessment of whether the infant is receiving an
adequate amount of milk?
A. Count the number of times that the infant swallows during a feeding
B. Weigh the infant every day and check for a daily weight gain of 2 oz
C. Count wet diapers to be sure that the infant is having at least six to 10 each day
D. Pump the breasts, place the milk in a bottle, measure the amount, and then bottle-
feed the infant
Give this one a try later!
C. Count wet diapers to be sure that the infant is having at least six to 10
each day
