1. A nurse in an emergency department completes an assessment on an
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f adolescent client that has conduct disorder.The client threatened suicide to a
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f teacher at school.Which of the following statements should the nurse include in
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f the assessment?
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a)Tell me about your siblings?
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B)Tell me what kind of music you like?
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c) Tell me how often do you drink alcohol?
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d) Tell me about your school schedule?
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…Answer: Tell me how often do you drink alcohol
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,2. A nurse is observing bonding to the client her newborn.Which of the
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f following actions by the client requires the nurse to intervene?
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A- Holding the new born in an en face position
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b- asking the father to change the newborns diaper
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c- requesting the nurse to take the newborn nursery so she can rest
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d- Viewing the newborns actions to be uncooperative
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…Answer: Viewing the newborns actions to be uncooperative
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3. A nurse is caring for a client who is taking levothyroxine.Which of the
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f following findings should indicate that the medication is effective?
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A-Weight loss
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b- Asking the father to change the newborns diaper
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c- absence of seizures f f
d- Decrease inflammation f
…Answer: Weightloss this drug acts as T4 and will normalize the effects of
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f hypothyroidism
4. A nurse is planning discharge teaching for cord care for the parent of a
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f newborn.Which instructions would you include in the teaching?
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A- contact the provider if the cord still turns black
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b- clean the base of the cord with hydrogen peroxide daily
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c- Keep the cord dry unitl it falls off
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d- The cord stump will fall off in five days
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,…Answer: Keep the cord dry until it falls off (cord should be kept clean and dry to prevent
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infection, it will turn black, clean with neutral ph cleanser, cord falls off in 10-14 days)
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5. A nurse is assessing a client in PACU.Which of the following findings
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f indicates decreased cardiac output?
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A- Shivering
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b- oliguria
c- Bradypnea
d- Constricted pupils f
…Answer: Oliguria ff
6. A nurse is assisting with mass casualty triage, explosion at a local factory.
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f Which of the following client should the nurse identify as the priority?
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, A- A client that has massive head trauma
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B- A client has full thickness burns to face and trunk
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C- A client with indications of hypovolemic shock
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D- A client with open fracture of the lower extremity
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…Answer: A client with indications of hypovolemic shock ff f f f f f f
7. A nurse is receiving report on four clients.Which of the following clients
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f should the nurse asses first?
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A- a client who has illegal conduit and mucus in the pouch
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b- Client pleasant arteriovenous additional vibration palpated
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c- Client whose chronic kidney disease with cloudy diasylate outflow
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D- A client was transurethral resection of the prostate with red tinged urine in
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f the bag f
…Answer: A client whose chronic kidney disease with cloudy diasylate outflow
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8. A nurse is caring for a client just received the first dose of lisinopril.The
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f following is an appropriate nursing intervention?
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a- place's cardiac monitoring f f
b- monitor the clients oxygen saturation level f f f f f
c- provide standby assist with the client from bed f f f f f f f
d- encourage foods high in potassium f f f f
…Answer: Provide standby assist with the client from bed ff f f f f f f f
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