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?
a. The client wants to talk about the diagnosis with nursing staff
b. The client has a decreased energy level
c. The client makes funeral arrangements d.
The client requests a second opinion
A nurse is preparing to collect data on a preschooler. Which of the following behaviors by thechild
indicates that he is ready to cooperate? (Select all that apply)
c. Allows the nurse to touch him on the arm
d. Plays with toys in the examining room
c.Answers questions asked by the nurse
d. Makes eye contact with the nurse
e. Sits on his parent’s lap when the nurse enters the room
A nurse on a mental health unit is planning care for a group of clients. Which of thefollowing
clients should the nurse see first?
e. A client who has bipolar disorder and is displaying flights of ideas
f. A client who has ADHD and has an inability to concentrate
g. A client who has schizophrenia and is having command hallucinations
h. A client who has depressive disorder and is withdrawn
A nurse is caring for a client who recently gave birth to her first child. The newborn is cryingand
the client states, “ I can’t seem to do anything right. What should I do?” Which of the following
responses should the nurse make?
i. “I’ll take him back to the nursery, so you can get some rest.”
j. “Babies need to cry soon after they are born to develop their lungs.”
k. “Let me show you how to swaddle and cuddle him, then you try.”
l. “If I turn him on his side, maybe he’ll go back to sleep.”
4. A nurse is using a glucometer to measure a client’s capillary blood glucose level, Which of
the following actions should the nurse take?
a. Test the first drop of blood that forms afterthe puncture
b. Wear sterile gloves
c. Keep the finger in a dependent position
d. Select the central tip of the finger
5. A nurse is reviewing the home medications of a client who recently had transient ischemic
attacks and is to begin taking clopidogrel. The nurse should instruct the client that which of the
following over-the-counter medications interacts adversely with clopidogrel?
a. Docusate sodium
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