1 WITH COMPLETE SOLUTIONS
1) A nurse in an emergency department 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
2) *A nurse is observing bonding to the 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
3) A nurse is caring for client who is taking levothyroxin. Which of
the following findings should indicate that the medication is
effective?
a) Weight loss (this drug acts as T4 and will normalize the effects
of hypothyroidism)
b) Decreased blood pressure
c) Absence of seizures
d) Decrease inflammation
4) A nurse is planning discharge teaching for cord care for the
parent of a newborn. Which instructions would you include in
the teaching?
, a) Contact provider if the cord still turns black (it’s going to turn
black)
b) Clean the base of the cord with hydrogen peroxide daily
(clean with neutral pH cleanser)
c) Keep the cord dry until it falls off (cord should be kept
clean and dry to prevent infection)
d) The cord stump will fall off in five days (cord falls off in 10-14
days)
5) A nurse is assessing a client in the PACU. Which of the following
findings indicates
decreased cardiac output?
a) Shiveri
ng b)
Oliguria
c) Bradypnea
d) Constricted pupils
6) Caring for a client who has a fecal impaction actions to be
taken when digitally evacuating the stool
Insert a lubricated gloved finger and advance along the rectal wall.
7) Dietary teaching for a new prescription
of phenelzine Broccoli, Yogurt, Cream Cheese