1.The nurse is has just admitted a client with severe depression. From
which focus should the nurse identify a priority nursing diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety: D: Safety
2.While explaining an illness to a 10 year-old, what should the nurse keep
in mind about the cognitive development at this age?
A) They are able to make simple association of ideas
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own perspective
D) Conclusions are based on previous experiences: B: Think logically in
,orga- nizing facts
3.The nurse enters the room as a 3 year-old is having a generalized
seizure. Which intervention should the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant: B: Place the child on the side
4.The nurse is reviewing a depressed client's history from an earlier admis-
sion. Documentation of anhedonia is noted. The nurse understands that
this finding refers to
A) Reports of difficulty falling and staying asleep
B) Expression of persistent suicidal thoughts
C) Lack of enjoyment in usual pleasures
D) Reduced senses of taste and smell: C: Lack of enjoyment in usua
pleasures
,5.A client has just returned to the medical-surgical unit following a
segmental lung resection. After assessing the client, the first nursing action
would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breathe and cough
D) Monitor oxygen saturation: B) Suction excessive tracheobronchia
secretions
6.While assessing a client in an outpatient facility with a panic disorder, the
nurse completes a thorough health history and physical exam. Which
finding is most significantfor this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes: B) Sense of impending doom
, 7.A 16 month-old child has just been admitted to the hospital. As the
nurse assigned to this child enters the hospital room for the first time, the
toddler runs to the mother, clings
to her and begins to cry. What would be the initial action by the nurse?
A) Arrange to change client care assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of "time-out"
D) Explain that the child needs extra attention: B) Explain that this
behavior is expected
8.A 15 year-old client with a lengthy confining illness is at risk for
altered growth and
development of which task?
A) Loss of control
B) Insecurity
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