• 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?

o The client wants to talk about the diagnosis with nursing staff

o The client has a decreased energy level

o The client makes funeral arrangements

o The client requests a second opinion

• 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? (Select all that apply)

o Allows the nurse to touch him on the arm

o Plays with toys in the

examining room

o c. Answers questions asked

by the nurse

o d. Makes eye contact with the

nurse

• 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 the

following clients should the nurse see first?

o A client who has bipolar disorder and is displaying flights of ideas

o A client who has ADHD and has an inability to concentrate

o A client who has schizophrenia and is having command hallucinations

o A client who has depressive disorder and is withdrawn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 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?

o “I’ll take him back to the nursery, so you can get some rest.”

o “Babies need to cry soon after they are born to develop their lungs.”

o “Let me show you how to swaddle and cuddle him, then you try.”

o “If I turn him on his side, maybe he’ll go back to sleep.”

• A nurse is using a glucometer to measure a client’s capillary blood glucose level, Which of the following

actions should the nurse take?

o Test the first drop of blood that forms after the puncture

o Wear sterile gloves

o Keep the finger in a dependent position

o Select the central tip of the finger