1. 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 of seizures

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 of f (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 to 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