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1. The nurse is has just admitted a The correct answer is D: Safety
client with severe depression. From
which focus should the nurse identify
a priority nursing diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety
2. While explaining an illness to a 10 The correct answer is B: Think logically in
year-old, what should the nurse keep organizing facts
in mind aboutthe 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
,3. The nurse enters the room as a 3 The correct answer is B: Place the child on the side
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
4. The nurse is reviewing a depressed The correct answer is C: Lack of enjoyment in usual
client's history from an earlier pleasures
admission. 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
5. A client has just returned to the The correct answer is B: Suction excessive
medical-surgical unit following a tracheobronchial secretions
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
,6. While assessing a client in an The correct answer is B: Sense of impending doom
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
7. A 16 month-old child has just been The correct answer is B: Explain that this behavior is
admitted to the hospital. As the expected
nurse assigned to this child enters
the hospital room for the first time,
the toddler runs to the mother,
clingsto 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
8. A 15 year-old client with a lengthy The correct answer is C: Dependence
confining illness is at risk for altered
growth and development of which
task?
A) Loss of control
B) Insecurity
C) Dependence D) Lack of trust
, 9. Which playroom activities should The correct answer is A: Sports and games with
the nurse organize for a small group rules
of 7 year-old hospitalized children?
A) Sports and games with rules B)
Finger paints and water play C)
"Dress-up" clothes and props D)
Chess and television programs
10. The nurse is discussing dietary The correct answer is A: "Eat a balanced diet for
intake with an adolescent who has your age."
acne. The most
appropriate statement for the nurse
is
A) "Eat a balanced diet for your age."
B) "Increase your intake of protein
and Vitamin A."
C) "Decrease fatty foods from your
diet."
D) "Do not use caffeine in any form,
including chocolate."
11. The nurse is assigned to a newly The correct answer is C: "CD4 lymphocyte count is
delivered woman with HIV/AIDS. The less than 200."
student asksthe nurse about how it is
determined that a person has AIDS
other than a positive HIV test. The
nurse responds
A) "The complaints of at least 3
common findings."
B) "The absence of any opportunistic
infection." C) "CD4 lymphocyte
count is less than 200."
D) "Developmental delays in
children."