PRACTICE 2023 B WITH NGN
1. A nurse is performing a cognitive assessment to distinguish delirium
from dementia in a client whose family reports episodes of confusion. Which
of the following assessment findings supports the nurse's suspicion of
delirium?: Easily distracted
2. A nurse is caring for a client who gave birth to a stillborn baby. Which of
the following statements should the nurse make?: "I'll stay with you just in case
you want to talk."
3. A nurse is caring for four clients in an emergency department. The nurse
should identify that which of the following clients can give informed
consent?-
: A 35-year-old client who has major depressive disorder
4. A nurse is teaching a newly licensed nurse about nursing care plans for
clients who have depressive disorders. Which of the following statements by
the newly licensed nurse indicates an understanding of the teaching?: "I will
update the plan of care as a client's manifestations of depression change."
5. A nurse on a medical-surgical unit is assessing a client who sustained
injuries 12 hr ago following a motor-vehicle crash. The client's admission
blood alcohol level was 325 mg/dL. Which of the following findings should
indicate to the nurse that the client is experiencing alcohol withdrawal?: Blood
pressure 154/96 mm Hg
6. A nurse is planning care for a client who has made repeated physical
threats toward others on the unit. Although the client does not want to leave
the unit, the nurse requests the provider to transfer the client to a unit that
, is equipped to manage violent behavior. Which of the following ethical
principles should the nurse apply in this situation?: Nonmaleficence
7. A nurse is discussing a 12-step program with a client who has alcohol
use disorder and is in an acute care facility undergoing detoxification.
Which of the following information should the nurse include in the
teaching?: The client should obtain a sponsor before discharge for an increased
chance of recovery.
8. A nurse is creating a plan of care for a client who has been placed in
seclusion after threatening to harm others on the unit. Which of the
following interventions should the nurse include in the plan?: Renew the
prescription for the client every 4 hr.
9. A nurse is performing an admission assessment on a client and notices
that the client appears withdrawn and fearful. To establish a trusting nurse-
client relationship, which of the following actions should the nurse take first?:
Inform the client that this admission is confidential.
10. A nurse is planning discharge teaching for a client who has severe
schizoaffective disorder. The nurse should identify that which of the following
treatment options can offer interdisciplinary services for the client at home?-
: Assertive community treatment
11. A nurse on a mental health unit is caring for a group of clients. Which of
the following actions by the nurse is an example of the ethical principle of
justice?: Spending adequate time with a client who is verbally abusive.
12. A nurse is teaching the guardians of a client about their adolescent
child's diagnosis of bulimia nervosa. Which of the following statements made
by the guardians indicates an understanding of their child's illness?: "It is
important for our child to have regular dental checkups."