Exam
2025/2026
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, Safety
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
They are able to think logically in organizing facts
Rationale: Think logically in organizing facts
While explaining an illness to a 10
year-old, what should the nurse keep
in mind about the 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
Place the child on the side
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
, Lack of enjoyment in usual pleasures
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
Suction excessive tracheobronchial secretions
. 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
Sense of impending doom
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
significant for this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes
, Explain that this behavior is expected
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, clings to
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
Dependence
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
B) Insecurity
C) Dependence
D) Lack of trust
Sports and games with rules
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
Eat a balanced diet for your age
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."