• 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o A client who has depressive disorder and is withdrawn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
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