(180 Qs & As) 2024/2025
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. A nurse is assisting with mass casualty 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
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, d) A client with open fracture of the lower extremity
7. A nurse is a receiving report on four clients. Which of the following clients should the nurse
assess first?
a) A client who has illeal conduit and mucus in the pouch
b) Client pleasant arteriovenous additional vibration palpated
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c) A client whose chronic kidney disease with cloudy diasylate outflow
d) A client was transurethral resection of the prostate with a red tinged urine in the bag