) 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 ofseizures

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) Shivering

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

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?