,The client has a decreased level of energy - CORRECT ANSWERS-A nurse is caring
for a client who has a recent diagnosis of a terminal illness. The nurse should identify
which of the following as an indication of hopelessness?
1. Allows the nurse to touch him on the arm
2. Answers questions asked by the nurse
3. Makes eye contact with the nurse - CORRECT ANSWERS-A nurse is preparing to
collect data on a preschooler. Which of the following behaviors by the child indicates
that he is ready to cooperate? (SATA-3)
A client who has schizo and is having command hallucinations - CORRECT
ANSWERS-A nurse on a mental health unit is planning care for a group of clients.
Which of the following clients should the nurse see first?
"Let me show how to swaddle and cuddle him, then try." - CORRECT ANSWERS-A
nurse is caring for a client who recently gave birth to her first child. The newborn is
crying and the client states, "I can't seem to do anything right. What should I do?" Which
of the following responses should the nurse make?
Keep the finger in dependent position - CORRECT ANSWERS-A nurse is using a
glucometer to measure a client's capillary blood glucose level. Which of the following
actions should the nurse take?
Naproxen - CORRECT ANSWERS-A nurse is reviewing the home medications with a
client who recently had a transient ischemic attacks and is to begin taking clopidogrel.
The nurse should instruct the client that which of the following otc meds interact
adversely w clopidogrel?
Check for pain w passive movement of the affected extremity - CORRECT ANSWERS-
A nurse is collecting data from a client who has a long leg cast that was applied 2 days
ago. The client's foot is pale w a weak pedal pulse and the client reports foot numbness.
Which of the following actions should the nurse take first?
Somnolence - CORRECT ANSWERS-A nurse in a providers office is reinforcing
teaching about cigarette smoking w a client. Which of the following adverse effects
should the nurse include in the teaching?
A client who is attempting to hurt himself or others - CORRECT ANSWERS-A nurse is
contributing to the development of an in-service program for mental health nursing staff.
The nurse should include that the staff can medicate a client against his will, without a
court hearing in which of the following situations?
"Monitor for muscle weakness while taking the medication" - CORRECT ANSWERS-A
nurse is reinforcing teaching with a client who has a new prescription for digoxin. Which
of the following instructions should the nurse include in the teaching?
, A social worker who's assigned an involuntary committed school-age client - CORRECT
ANSWERS-A charge nurse is discussing confidentiality requirements w a newly
licensed nurse when sharing a client's medical info. Which of the following individuals
should the charge nurse identify as appropriate with whom to share client info?
Urine protein plus - CORRECT ANSWERS-A nurse is reviewing lab values for a client
who is at 34 weeks of gestation. Which of the following findings should the nurse report
to the provider?
O2 sat 89% - CORRECT ANSWERS-A nurse is collecting data from a client who is 4 hr
postop following a hemicolectomy. Which of the following findings is a nurse's priority,
requiring immediate intervention?
Blurred vision - CORRECT ANSWERS-A nurse in a provider's office is collecting data
from a client who has a history of hypertension during his annual physical examination.
Which of the following findings should the nurse report to the provider immediately?
Elevate the client's HOB - CORRECT ANSWERS-A nurse is caring for a client who
suddenly develops chest pain and dyspnea. Which of the following actions should the
nurse take first?
Glycoslated Hemoglobin - CORRECT ANSWERS-A nurse is reinforcing teaching on a
client who has diabetes mellitus. Which of the following lab tests is most accurate of
blood glucose effective management?
Tells a client he will lose his phone privileges if he does not take his medication -
CORRECT ANSWERS-A nurse charge on a mental health unit is supervising a newly
licensed nurse. For which of the following actions by the newly licensed nurse should
the supervising nurse intervene?
Oral suction equipment - CORRECT ANSWERS-A nurse is supervising an AP obtain
supplies for a client who is on seizure precautions. Which of the following materials
should the AP place in the client's room?
Encourage client to be assertive - CORRECT ANSWERS-A nurse is reinforcing
discharge teaching with a family of a client who has dependent personality disorder.
What action should the nurse take?
"You should avoid crossing your legs for 3 months" - CORRECT ANSWERS-A nurse is
reinforcing discharge teaching with a client who had a right total hip arthroplasty. Which
of the following instructions should the nurse indicate?
Eat a small meal every 2-3 hr - CORRECT ANSWERS-A nurse is reinforcing dietary
teaching with a client who has hyperemesis gravidarum. Which of the following
instructions should the nurse include in the teaching?
for a client who has a recent diagnosis of a terminal illness. The nurse should identify
which of the following as an indication of hopelessness?
1. Allows the nurse to touch him on the arm
2. Answers questions asked by the nurse
3. Makes eye contact with the nurse - CORRECT ANSWERS-A nurse is preparing to
collect data on a preschooler. Which of the following behaviors by the child indicates
that he is ready to cooperate? (SATA-3)
A client who has schizo and is having command hallucinations - CORRECT
ANSWERS-A nurse on a mental health unit is planning care for a group of clients.
Which of the following clients should the nurse see first?
"Let me show how to swaddle and cuddle him, then try." - CORRECT ANSWERS-A
nurse is caring for a client who recently gave birth to her first child. The newborn is
crying and the client states, "I can't seem to do anything right. What should I do?" Which
of the following responses should the nurse make?
Keep the finger in dependent position - CORRECT ANSWERS-A nurse is using a
glucometer to measure a client's capillary blood glucose level. Which of the following
actions should the nurse take?
Naproxen - CORRECT ANSWERS-A nurse is reviewing the home medications with a
client who recently had a transient ischemic attacks and is to begin taking clopidogrel.
The nurse should instruct the client that which of the following otc meds interact
adversely w clopidogrel?
Check for pain w passive movement of the affected extremity - CORRECT ANSWERS-
A nurse is collecting data from a client who has a long leg cast that was applied 2 days
ago. The client's foot is pale w a weak pedal pulse and the client reports foot numbness.
Which of the following actions should the nurse take first?
Somnolence - CORRECT ANSWERS-A nurse in a providers office is reinforcing
teaching about cigarette smoking w a client. Which of the following adverse effects
should the nurse include in the teaching?
A client who is attempting to hurt himself or others - CORRECT ANSWERS-A nurse is
contributing to the development of an in-service program for mental health nursing staff.
The nurse should include that the staff can medicate a client against his will, without a
court hearing in which of the following situations?
"Monitor for muscle weakness while taking the medication" - CORRECT ANSWERS-A
nurse is reinforcing teaching with a client who has a new prescription for digoxin. Which
of the following instructions should the nurse include in the teaching?
, A social worker who's assigned an involuntary committed school-age client - CORRECT
ANSWERS-A charge nurse is discussing confidentiality requirements w a newly
licensed nurse when sharing a client's medical info. Which of the following individuals
should the charge nurse identify as appropriate with whom to share client info?
Urine protein plus - CORRECT ANSWERS-A nurse is reviewing lab values for a client
who is at 34 weeks of gestation. Which of the following findings should the nurse report
to the provider?
O2 sat 89% - CORRECT ANSWERS-A nurse is collecting data from a client who is 4 hr
postop following a hemicolectomy. Which of the following findings is a nurse's priority,
requiring immediate intervention?
Blurred vision - CORRECT ANSWERS-A nurse in a provider's office is collecting data
from a client who has a history of hypertension during his annual physical examination.
Which of the following findings should the nurse report to the provider immediately?
Elevate the client's HOB - CORRECT ANSWERS-A nurse is caring for a client who
suddenly develops chest pain and dyspnea. Which of the following actions should the
nurse take first?
Glycoslated Hemoglobin - CORRECT ANSWERS-A nurse is reinforcing teaching on a
client who has diabetes mellitus. Which of the following lab tests is most accurate of
blood glucose effective management?
Tells a client he will lose his phone privileges if he does not take his medication -
CORRECT ANSWERS-A nurse charge on a mental health unit is supervising a newly
licensed nurse. For which of the following actions by the newly licensed nurse should
the supervising nurse intervene?
Oral suction equipment - CORRECT ANSWERS-A nurse is supervising an AP obtain
supplies for a client who is on seizure precautions. Which of the following materials
should the AP place in the client's room?
Encourage client to be assertive - CORRECT ANSWERS-A nurse is reinforcing
discharge teaching with a family of a client who has dependent personality disorder.
What action should the nurse take?
"You should avoid crossing your legs for 3 months" - CORRECT ANSWERS-A nurse is
reinforcing discharge teaching with a client who had a right total hip arthroplasty. Which
of the following instructions should the nurse indicate?
Eat a small meal every 2-3 hr - CORRECT ANSWERS-A nurse is reinforcing dietary
teaching with a client who has hyperemesis gravidarum. Which of the following
instructions should the nurse include in the teaching?
