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PN Hesi Exit V1
Question 1
A school-age client with diabetes isplaced on anintermediate-
acting insulin and regular insulin before breakfastand before
dinner. She will receive a snack of milkand cereal at bedtime.
What does the nurse tell the clientthe snack isintended to do?
You Selected:
•
Prevent late nighthypoglycemia.
Correct response:
•
Prevent late nighthypoglycemia.
Question2
A well-known public official of a small communityis admittedto
the emergency department following anepisode of chest pain.
Several nurses from the medical unit are aware ofthe admission and
access the official’s electronic medical record to obtain a status
update. What is the best response for the nurse manager tomake to
the nurses regarding this situation?
You Selected:
• “Assessing the official’s medical record is a breach of
confidentiality.”
Correct response:
• “Assessing the official’s medical record is a breach of
confidentiality.”
Question3
A four-year-old child is diagnosedashaving acute lymphocytic
leukemia. The white blood cell (WBC) count, especially the
neutrophil count,islow. What isthe most important intervention the
nurse should teach the parents?
You Selected:
• Protect your child from infections because his resistance to
infection is decreased
Correct response:
• Protect your child from infections because his resistance to
infection is decreased
Question 4
The nurse is caring for a client with influenza. The most effective
way to decrease the spread of microorganisms is:
You Selected:
• placing the client in isolation.
Correct response:
• washing the hands frequently.
Question 5
A client with a history ofhypertension has been prescribed a new
antihypertensive medication and is reporting dizziness. Which is
the best way for the nurse to assess blood pressure?
You Selected:
• in the supine, sitting, and standing positions
Correct response:
• in the supine, sitting, and standing positions
Question 6
A client has a soft wrist-safety device. Which assessment finding
should the nurse investigate further?
You Selected:
• cool, pale fingers
Correct response:
• cool, pale fingers
Question 7
A nurse is caring for a female client before surgery. The client states
that she isglad that she will not be going through menopause as a
result of her surgery and isonly having her uterus removed. The
nurse reviews the consent form and notes that the surgery isfor a
total abdominal hysterectomy witha salpingo-oophorectomy. What
should the nurse do in this situation?
You Selected:
• Contact the surgeon to explain that the client needs further
clarification regarding surgery.
Correct response:
• Contact the surgeon to explain that the client needs further
clarification regarding surgery.
Question 8
A young client diagnosed with schizophrenia istalking with the
nurse and says, “You know, when I thought everyone was out toget
me, I was stayingin my apartment all the time. Now, I would like to
get outand dothings again.” What isthe best initial response bythe
nurse?
You Selected:
• “What activities did you enjoy in the past?”
Correct response:
• “What activities did you enjoy in the past?”
Question 9
A client with anemia has been admitted tothe medical-surgical unit.
Which assessment findings are characteristic of iron deficiency
anemia?
You Selected:
• nausea, vomiting, and anorexia
Correct response:
• dyspnea, tachycardia, and pallor
Question 10
The nurse isdiscontinuing anintravenouscatheter ona 10-year-old
client with hemophilia. What would bethe most important
intervention for this client?
You Selected:
• Apply firm pressure on the site for 5 minutes after removal.
Correct response:
• Apply firm pressure on the site for 5 minutes after removal.
Question 11
When a client returns from the recovery room postmastectomy, an
initial postoperative assessment is performed by the nurse. What is
the nurse’s priority assessment?
You Selected:
• checking the dressing, drain, and amount of drainage
Correct response:
• assessing the vital signs and oxygen saturation levels
Question 12
A client with an uncomplicated term pregnancy arrives atthe labor-
and-delivery unit in early labor saying that she thinks her water has
broken. What is the nurse’sbest action?
You Selected:
• Ask what time this happened and note the color, amount, and
odor of the fluid.
Correct response:
• Ask what time this happened and note the color, amount, and
odor of the fluid.
Question 13
When documenting the care of a client, the nurse is aware of the
need to use abbreviations conscientiously and safely. This includes
You Selected:
• ensuring the abbreviations are understandable to clients who
may seek access to their health records
Correct response:
• limiting abbreviations to those approved for use by the
institution
Question 14
During routine prenatal screening, a nurse tells a client that her
blood sample willbeused for alpha fetoprotein (AFP) testing.
Which statement best describes what AFP testing indicates?
You Selected:
• “This screening indicates if your baby’s lungs are mature.”
Correct response:
• “This test will screen for spina bifida, Down syndrome, or
other genetic defects.” Document continues below
Discover more from:
Nursing fundamental (PN 200)(PN 200)
22 documentsGo to course
- 45HESI PN EXIT EXAM V3 – NotesNursing fundamental100% (11)
- 48HESI PN EXIT EXAM V2 – NotesNursing fundamental100% (7)
- 8Pain ManagementNursing fundamental100% (2)
- 6Pharmacology Quick Reference Guide (Quick Study… (z-libNursing fundamental100% (2)
- 7Infection ControlNursing fundamental100% (1)
- 139Disease PathophysiologyNursing fundamental100% (1)
Question 15
A client is recovering from an infected abdominal wound. Which
foods should the nurse encourage the client to eat tosupport wound
healing and recovery from the infection?
You Selected:
• chicken and orange slices
Correct response:
• chicken and orange slices
Question 16
A nurse suspects that the laboring client may have been physically
abused by her partner. What isthe most appropriate interventionby
the nurse?
You Selected:
• Collaborate with the interprofessional team to make a referral
to social services.
Correct response:
• Collaborate with the interprofessional team to make a referral
to social services.
Question 17
A client is newly diagnosed with asthma. While learning to use a
metered dose inhaler (MDI) for delivery of a short-term beta
agonist, the client asks if a spacer is appropriate to use with this
device. What is thenurse’s best response?
You Selected:
• “No, a spacer is not recommended because it can increase the
risk of developing oropharyngeal candidiasis.”
Correct response:
• “Yes, a spacer is recommended because it increases the
amount ofmedication that isdelivered tothe lungs.”
Question 18
The nurse is planning care for a client who had surgery for
abdominal aortic aneurysm repair 2 days ago. The pain medication
and the use of relaxation and imagery techniques are notrelieving
the client’s pain, and the client refuses to get out of bed to ambulate
as prescribed. The nurse contacts the health care provider (HCP),
explains the situation, and provides information about drug dose,
frequency ofadministration, the client’s vital signs, and the client’s
score on the pain scale. The nurse requests a prescription for a
different, orstronger, pain medication. The HCP tells the nurse that
the current prescription for pain medication is sufficient for this
client and that the client will feel better inseveral days. What should
the nurse do next?
You Selected:
• Explain to the HCP that the current pain medication and other
strategies are not helping the client andit is making it difficult
for the client to ambulate as prescribed.
Correct response:
• Explain to the HCP that the current pain medication and other
strategies are not helping the client andit is making it difficult
for the client to ambulate as prescribed.
Question 19
The nurse is making a room assignment for a client whose
laboratory test result indicate pancytopenia. Which client should the
nurse put into the same room with the client with pancytopenia?
You Selected:
• a client with digoxin toxicity
Correct response:
• a client with digoxin toxicity
Question 20
A community health nurse provides a client with information about
a local support group for those with multiple sclerosis. Providing
this informationisan example of which of the following?
You Selected:
• A referral.
Correct response:
• A referral.
Question 21
A nurse workingona neurologic floor has received reports onfour
clients. After identifying priority assessment data for eachclient,
which client should the nurse investigate first?
You Selected:
• the client admitted after a head injury in a motor vehicle who
reports nausea
Correct response:
• the client admitted after a head injury in a motor vehicle who
reports nausea
Question 22
The mother of anadolescent client who is diagnosed with
oppositional defiant disorder tells the nurse that she has read
extensively onthis disorder and does not believe the diagnosis is
correct for her daughter. Which response by the nurse is
appropriate?
You Selected:
• “Tell me what you’ve found in your reading that’s leading
you to that conclusion.”
Correct response:
• “Tell me what you’ve found in your reading that’s leading
you to that conclusion.”
Question 23
A nurse prepares a client’s medicationbyreconstituting a multi-dose
vial ofmedication. What other nursing interventions should the
nurse take? Select all that apply.
You Selected:
• Label the vial with the strength of the medication.
• Store the multi-dose vial in a secure place.
• Initial the vial as the person reconstituting the medication.
Correct response:
• Label the vial with the strength of the medication.
• Store the multi-dose vial in a secure place.
• Initial the vial as the person reconstituting the medication.
Question 24
Because of religious beliefs, a client, who is an Orthodox Jew,
refuses to eat hospital food. Hospital policy discourages food from
outside the hospital. The nurse should next:
You Selected:
• discuss the situation and possible courses of action with the
dietitian and the client.
Correct response:
• discuss the situation and possible courses of action with the
dietitian and the client.
Question 25
After a plaster cast has been appliedto the armof a child with a
fractured right humerus, the nurse completes discharge teaching.
The nurse should evaluate the teachingas successful when the
mother agrees toseek medical advice if the child experiences which
symptom?
You Selected:
• fussiness and reports that the cast is heavy
Correct response:
• inability to extend the fingers on the right hand
Question 26
While shopping, a nurse meets a neighbor who asks about a friend
receiving treatment at the nurse’s clinic. What is the
nurse’s most appropriateresponse?
You Selected:
• “I’m sorry, I can’t disclose client information.”
Correct response:
• “I’m sorry, I can’t disclose client information.”
Question 27
When assessingan 18-year-old primipara who gave birth under
epidural anesthesia 24 hours ago, the nurse determines that the
fundus is firm buttothe right of midline. Based on this finding, the
nurse should further assess for which complication?
You Selected:
• urinary retention
Correct response:
• urinary retention
Question 28
Which situation demonstrates correct principles ofconfidentiality?
You Selected:
• Two nurses alone in an elevator are discussing a client’s
status.
Correct response:
• An emergency department nurse reports suspected child
abuse.
Question 29
The nurse in a psychiatric unit has formed a therapeutic relationship
with a client with a borderline personality disorder. When the client
is readmitted to the unit for a suicide attempt, the nurse exclaims to
another staff nurse, “Why? Everything was going well. How could
they do this to me?” What response by the staff nurse reflects an
understanding of the client’s borderline disorder?
You Selected:
• “Clients with borderline disorder act out to relieve anxiety,
and something must have provoked a great deal of anxiety.”
Correct response:
• “Clients with borderline disorder act out to relieve anxiety,
and something must have provoked a great deal of anxiety.”
Question 30
A childisreceiving total parenteral nutrition(TPN). During TPN
therapy, the most important nursing action is:
You Selected:
• monitoring the blood glucose level closely.
Correct response:
• monitoring the blood glucose level closely.
Question 31
A 9-year-old client isbrought tothe emergency department with a
sutured wound with purulent drainage. The area around the wound
is red and warm to the touch, and the child is febrile. The parents
want to knowthe significance ofthe purulentdrainage. What is
the best response by the nurse?
You Selected:
• “The drainage is an indication that the sutures were not tight
enough.”
Correct response:
• “If a wound heals on the surface but infection remains, it will
open and drain.”
Question 32
A 19-year-old primigravid clientat 38 weeks’ gestation is 7 cm
dilated, and the presenting part is at +1 station. The client tells the
nurse, “I need to push!” What should the nurse do next?
You Selected:
• Instruct the client to use a pant-blow pattern of breathing.
Correct response:
• Instruct the client to use a pant-blow pattern of breathing.
Question 33
A client with cystic fibrosis develops pneumonia. To decrease the
viscosity of respiratory secretions, the physician orders
acetylcysteine. Before administering the first dose, the nurse checks
the client’s history for asthma. Acetylcysteine must be used
cautiously in a client with asthma becauseit
You Selected:
• may induce bronchospasm.
Correct response:
• may induce bronchospasm.
Question 34
Bone resorption is a possible complication of Cushing’sdisease. To
help the client prevent this complication, what should the nurse
recommend to the client?
You Selected:
• Maintain a regular program of weight-bearing exercise.
Correct response:
• Maintain a regular program of weight-bearing exercise.
Question 35
A client rates the pain level of a migraine an 8on a scale of 1-10.
How would the nurse administer the medication to give the client
the quickest relief?
You Selected:
• intravenous (IV)
Correct response:
• intravenous (IV)
Question 36
A client withParkinson’s disease who is scheduled for
physiotherapy isexperiencing nausea and weakness. What is
the mostappropriate actionby the nurse?
You Selected:
• Assess the nausea and weakness and call physiotherapy to
cancel or reschedule the appointment.
Correct response:
• Assess the nausea and weakness and call physiotherapy to
cancel or reschedule the appointment.
Question 37
Which intervention should the nurse include in the plan of care to
ensure adequate nutrition for a very active, talkative, and easily
distractible client who is unable to sit through meals?
You Selected:
• Offer the client nutritious finger foods.
Correct response:
• Offer the client nutritious finger foods.
Question 38
Which activity should the nurse recommend tothe client on an
inpatient unit when thoughts of suicide occur?
You Selected:
• playing a card game with other clients
Correct response:
• talking with the nurse
Question 39
A nurse is teaching a client with multiple sclerosis (MS). When
teaching the client how toreduce fatigue, the nurse should tell the
client to
You Selected:
• rest in an air-conditioned room.
Correct response:
• rest in an air-conditioned room.
Question 40
An apartment fire spreads to seven apartment units. Victims suffer
burns, minor injuries, and broken bones from jumping from
windows. Which client should be transportedfirst?
You Selected:
• a 10-year-old with a simple fracture of the humerus who is in
severe pain
Correct response:
• a middle-aged man with no injuries who has rapid respirations
and coughs
Question 41
A 26-year-old primigravida visiting the prenatal clinic for her
regular visitat 34 weeks’gestation tells the nurse that she takes
mineral oil for occasional constipation. What should the nurse
should instruct the client todo?
You Selected:
• Avoid mineral oil because it interferes with the absorption of
fat-soluble vitamins.
Correct response:
• Avoid mineral oil because it interferes with the absorption of
fat-soluble vitamins.
Question 42
A client is receiving chemotherapy that has the potential to cause
pulmonary toxicity. Which signs orsymptoms indicates a toxic
response to the chemotherapy?
You Selected:
• cough and shortness of breath
Correct response:
• cough and shortness of breath
Question 43
A nurse observes a physician providing care to aninfectious client
without the use of personal protective equipment. What should the
nurse do first?
You Selected:
• Notify the unit manager.
Correct response:
• Discuss the breach of practice with the physician.
Question 44
The nurse observes a client ina group whoisreminiscing about his
past. Which effect should the nurse expect reminiscingto have on
the client’s functioning in the hospital?
You Selected:
• Decrease the client’s feelings of isolation and loneliness.
Correct response:
• Decrease the client’s feelings of isolation and loneliness.
Question 45
A nurse, a licensed practical nurse (LPN), and a nursing assistant
are caring for a group ofclients. The nurse asks the nursing assistant
to check the pulse oximetry level of a client who underwent
laminectomy. The nursing assistant reports that the pulse oximetry
reading is89%. The client Kardex contains an order for oxygen
application at 2 L/min should the pulse oximetry level fall below
92%. The nurse is currently assessing a postoperative client who
just returned from the postanesthesia care unit. How should the
nurse proceed?
You Selected:
• Ask the LPN to obtain vital signs and administer oxygen at 2
L/min to the client who underwent laminectomy.
Correct response:
• Ask the LPN to obtain vital signs and administer oxygen at 2
L/min to the client who underwent laminectomy.
Question 46
A physician orders a stool culture to help diagnose a client with
prolonged diarrhea. The nurse who obtains the stool specimen
should
You Selected:
• collect the specimen in a sterile container.
Correct response:
• collect the specimen in a sterile container.
Question 47
A client returns tothe nursing division after a procedure. The client
tells the nurse that the client was awake during the procedure and
recalls certain events. What is the nurse’s priorityintervention?
You Selected:
• Ask for additional information from the client.
Correct response:
• Ask for additional information from the client.
Question 48
The nurse isobserving an unlicensed assistive personnel (UAP) give
care toa client after gynecologic surgery. The nurse should
intervene if the UAP:
You Selected:
• ambulates the client.
Correct response:
• massages the client’s legs.
Question 49
For a client with Graves’ disease, which nursing intervention
promotes comfort?
You Selected:
• maintaining room temperature in the low-normal range
Correct response:
• maintaining room temperature in the low-normal range
Question 50
A client is admittedto the hospital because of threatening,
aggressive behavior toward his family. In the first group meeting
after the client is admitted, another client sits near the nurse and
says loudly, “I’m sitting here because I’m afraidofTed. He’s sobig,
and I heard him talk about hitting people.” The nurse should say to
the client:
You Selected:
• “Everyone is here for different problems. You know you don’t
have to worry.”
Correct response:
• “It’s frightening to have new people on the unit. We’re here to
talk about things like being afraid.”
Question 51
A nurse ispreparingtoadminister anI.V. containing dextrose 10%
in ¼ normal saline solution to a 6-month-old infant. The nurse
should select which tubing tosafely administer the solution?
You Selected:
• I.V. tubing with a macrodrip chamber
Correct response:
• I.V. tubing with a volume-control chamber
Question 52
What is the priority nursing intervention in the postictal phase of a
seizure?
You Selected:
• Assess the client’s breathing pattern.
Correct response:
• Assess the client’s breathing pattern.
Question 53
The fire alarm sounds onthe maternal-neonatal unit at 0200. How
can a nurse best care for the unit’s clients during a fire alarm?
You Selected:
• Immediately evacuate the unit.
Correct response:
• Close all of the doors on the unit.
Question 54
The nurse issuctioning a client’stracheostomy. For whatreason
during the procedure does the nurse complete the above action?
You Selected:
• to lubricate the outside of the suction catheter
Correct response:
• to clear secretions from the tubing
Question 55
A primiparous client is on a regular diet 24hours postpartum. The
client’s mother asks the nurse if she can bring her daughter some
“special foods from home.” The nurse responds, based on the
understanding about which principle?
You Selected:
• The client’s health care provider (HCP) needs to give
permission for the foods.
Correct response:
• The mother can bring the daughter any foods that she desires.
Question 56
A parent brings a 5-year-old childtoa weekend vaccination clinic to
prepare for school entry. The nurse notes that the child has nothad
any vaccinations since 4 months of age. What isthe best way for the
nurse to determine how to catch-up the child’s vaccinations?
You Selected:
• Contact the child’s health care provider (HCP) during office
hours.
Correct response:
• Review nationally published immunization guidelines.
Question 57
A client isadmitted to the labor and delivery unitinlabor with
blood flowing down her legs. What would bethe priority nursing
intervention?
You Selected:
• Monitor fetal heart tones.
Correct response:
• Monitor fetal heart tones.
Question 58
A nurse administers incorrect medication toa client. After assessing
the client, and completing an incident report, which is
the priority actionbythe nurse?
You Selected:
• Complete an adverse drug reaction (ADR) report.
Correct response:
• Report the incident to risk management.
Question 59
A multipara at 16 weeks’ gestation isdiagnosed as having a fetus
with probable anencephaly. The client isfrom a conservative faith
and has decidedto continue the pregnancy and donate the neonatal
organs after the death ofthe neonate. What should the nurse do?
You Selected:
• Explore his or her own feelings about the issues of
anencephaly and organ donation.
Correct response:
• Explore his or her own feelings about the issues of
anencephaly and organ donation.
Question 60
A client who is tohave a vaginal radium implant tells the nurse she
is concerned about being radioactive. The nurse should tell the
client:
You Selected:
• “The radiation is necessary to treat your tumor.”
Correct response:
• ”The radioactive material is controlled and stays with the
source; once the material is removed, no radioactivity will
remain.”
Question 61
An agitated, confused client arrives in the emergency department.
The client’s history includes type 1 diabetes, hypertension, and
angina pectoris. Assessment reveals pallor, diaphoresis, headache,
and intense hunger. A stat blood glucose sample measures42mg/dl,
(2.3 mmol/L) and the client is treated for anacute hypoglycemic
reaction. After recovery, the nurse teaches the clientto treat
hypoglycemia by ingesting
You Selected:
• 18 to 20 g of a simple carbohydrate.
Correct response:
• 15 g of a simple carbohydrate.
Question 62
A competent clientina long-term care facility refuses totake oral
diuretic medication. The nurse informs the client that if the
medication isn’ttaken, restraints will beapplied, and the medication
will be given by injection. Which legal tort best describes this
nurse’s statement?
You Selected:
• negligence
Correct response:
• assault
Question 63
A client with weakness and tingling in both legs is admitted tothe
medical-surgical unit with a tentative diagnosis of Guillain-Barré
syndrome. Onadmission, which assessment is most important for
this client?
You Selected:
• lung auscultation and measurement of vital capacity and tidal
volume
Correct response:
• lung auscultation and measurement of vital capacity and tidal
volume
Question 64
Which client should the nurse assess first?
You Selected:
• a client with chronic hypertension whose blood pressure today
is 182/98 mm Hg
Correct response:
• a client being treated for chronic stable angina who reports a
recent increase in chest pain frequency
Question 65
A nurse iscaring for a client during the first postpartum day. The
client asks the nurse how torelieve pain from her episiotomy. What
should the nurse instruct the woman todo?
You Selected:
• Take a sitz bath.
Correct response:
• Apply an ice pack to her perineum.
Question 66
The nurse is admitting a hospital client who does notspeak English
and who is accompanied bythe client’s school-aged child. The client
appears to be in pain, but the nurse isunable to assess the character
or history of the client’s pain. How should the
nurse best communicate with the client?
You Selected:
• Have a hospital interpreter come to the assessment; defer the
assessment if none is available.
Correct response:
• Enlist the help of a hospital interpreter; ask the son to
translate if none is readily available.
Question 67
A client who has just been diagnosed with mixed muscular
dystrophy asks the nurse about the usual course ofthis disease. How
should the nurse respond?
You Selected:
• “You should ask your physician about that.”
Correct response:
• “You may experience progressive deterioration in all
voluntary muscles.”
Question 68
The nurse is caring for a client with type 2 diabetes who has been
admitted with hyperglycemia. What is the most important
consideration when developing a teaching plan for this client?
You Selected:
• Assess what the client already knows, then identify learning
needs.
Correct response:
• Assess what the client already knows, then identify learning
needs.
Question 69
A nurse isteaching a pregnant client how todistinguish false labor
contractions from true labor contractions. Which statement by the
client indicates an understandingof this concept?
You Selected:
• “False labor contractions start in the back and radiate to the
abdomen.”
Correct response:
• “False labor contractions are usually felt in the abdomen.”
Question 70
A client has been taking fluoxetine, 40 mg dailyat 0900 for 1 week.
The client states he feels nervous and has had diarrhea. What
interpretation does the nurse make about the client’s symptoms?
You Selected:
• important, probably suggesting a decrease in dosage or
change to another medication
Correct response:
• important, probably suggesting a decrease in dosage or
change to another medication
Question 71
Which instruction should a nurse give toa client with diabetes
mellitus when teaching about “sick day rules”?
You Selected:
• “Test your blood glucose every 4 hours.”
Correct response:
• “Test your blood glucose every 4 hours.”
Question 72
In which maternal locations would the nurse place the ultrasound
transducer of the external electronic fetal heart rate monitor if a
fetus at 34weeks’ gestation is in the left occipitoanterior (LOA)
position?
You Selected:
• near the symphysis pubis
Correct response:
• below the umbilicus on the left side
Question 73
The client with a cervical spinal cord injuryis admitted tothe
rehabilitation unit with skeletal traction(Gardner-Wells Traction).
What nursing actions are a priority when caring for the client?
Select all that apply.
You Selected:
• Assess the client’s skin integrity.
• Maintain active range of motion.
• Maintain proper body alignment.
Correct response:
• Assess the client’s skin integrity.
• Maintain proper body alignment.
• Assess client’s neurological function.
Question 74
An older client with diabetes who has been maintained on
metformin has been scheduled for a cardiac catheterization. The
nurse should verify that the health care provider (HCP) has written
which prescription for takingthe metforminbefore the procedure?
You Selected:
• Withhold the metformin.
Correct response:
• Withhold the metformin.
Question 75
A client tells the nurse that she doesn’t have funds to buy
diapers and formula. The nurse should refer this client to a
You Selected:
•
social worker.
Correct response:
•
social worker.
Question 76
A voluntary client inafacilitydecides toleave the unit before
treatment is complete. To detain the client, the nurse refuses
to return the client’s personal effects. This action is an
example of:
You Selected:
•
slander.
Correct response:
•
false imprisonment.
Question 77
A postpartum multiparous client diagnosed with endometritis
is to receive intravenous antibiotic therapy with ampicillin.
Before administeringthis drug, the nurse must take which
action?
You Selected:
•
Ask the client ifshe has any drug allergies.
Correct response:
•
Ask the client ifshe has any drug allergies.
Question 78
A 2-year-old is being seen in the outpatient department for a
minor injury. The nurse places the child on the examining
table, and the child begins to scream and cry. No attempts to
comfort the toddler are effective. Which is the nurse’s best
action?
You Selected:
•
Allow the parents to hold the child in their lap for the
assessment.
Correct response:
•
Allow the parents to hold the child in their lap for the
assessment.
Question 79
The nurse is teaching an adolescent how to self-administer
insulin. Whichof the following is a priority for the nurse to
emphasize about insulin administration?
You Selected:
•
Insulin injections are administered in subcutaneous
tissue.
Correct response:
•
Insulin injections are administered in subcutaneous
tissue.
Question 80
A 2 1/2-year-old child and his 2-month-old sibling are
brought to the clinic by their father, who explains that the
older child says “no” whenever asked to do something. The
nurse should explain that the negativism demonstrated by
toddlers is frequently an expression of which characteristic?
You Selected:
•
pursuit of autonomy
Correct response:
•
pursuit of autonomy
Question 81
A client with burns is to have a whirlpool bath and dressing
change. What should the nurse do 30minutes before the
bath?
You Selected:
•
Administer an analgesic.
Correct response:
•
Administer an analgesic.
Question 82
The team leader has noticed a sharp increase in medication
errors associated with IV antibiotic administration over the
last 2 months. The group that could offer resources for
tracking medication errors and improving care outcomes is
the:
You Selected:
•
Pharmacy and Products Office.
Correct response:
•
Quality Improvement and Risk Management
Department.
Question 83
A physician orders digoxin elixir for a client with heart failure.
Immediately before administering this drug, the nurse must
check the client’s
You Selected:
•
apical pulse.
Correct response:
•
apical pulse.
Question 84
One ofthe myths about sexual abuse ofyoung children is
that it usually involves physically violent acts. Which behavior
is more likely to be used by the abusers?
You Selected:
•
tying the child down
Correct response:
•
coercion as a result of the trusting relationship
Question 85
While takingan admission history, a client tells a nurse that
they were a former IV drug abuser. Which test would
be most important for this client to undergo?
You Selected:
•
hepatitis C virus test
Correct response:
•
hepatitis C virus test
Question 86
A 44-year-old client has been experiencing spotting, nausea,
vomiting, and fatigue. A positive pregnancy test and an
ultrasound confirm a 13 week gestation. The client had three
prior miscarriages with no term births. What does the nurse
recognize as the greatest risk factor for the client at this
time?
You Selected:
•
pregnancy loss
Correct response:
•
pregnancy loss
Question 87
The nurse isconducting a routine risk assessment at a
prenatal visit. Which question would be the best to screen
for intimate partner violence?
You Selected:
•
“How safe do you feel in your home?”
Correct response:
•
“How safe do you feel in your home?”
Question 88
A child being treated for conduct disorder is the last person
on the unit selected for an activity. The nurse should expect
the client to demonstrate:
You Selected:
•
withdrawal.
Correct response:
•
aggression.
Question 89
A client who isparalyzed after a spinal cord injury needs to
be transferred to a stretcher. Which assistive device should
the nurse use to facilitate this transfer?
You Selected:
•
transfer board
Correct response:
•
transfer board
Question 90
A client with diabetes is taking insulin lispro injections. At
what timeshould the nurse advise the client to eat?
You Selected:
•
within 10 to 15minutes after the injection.
Correct response:
•
within 10 to 15minutes after the injection.
Question 91
Which ofthe following clients should the nurse assess first?
You Selected:
•
the client who is a child with stridor and nasal flaring
Correct response:
•
the client who is a child with stridor and nasal flaring
Question 92
Which mediation can the nurse administer through a
nasogastric(NG) tube?
You Selected:
•
acetaminophen
Correct response:
•
acetaminophen
Question 93
A client has been prescribed corticosteroids. The nurse
would also anticipate an order for
You Selected:
•
blood glucosechecksevery6hours.
Correct response:
•
blood glucosechecksevery6hours.
Question 94
When preparing for a spiritual counselor to visit a
hospitalized client, the nurse should
You Selected:
•
take measures to ensure privacy during the counselor’s
visit.
Correct response:
•
take measures to ensure privacy during the counselor’s
visit.
Question 95
A client with pernicious anemia asks why she must take
vitamin B12 injections forever. Whichis the
nurse’s
best
response?
You Selected:
•
“The reason for your vitamin deficiency is an increased
requirement for the vitamin because of rapid red blood
cell production.”
Correct response:
•
“The reason for your vitamin deficiency is an inability to
absorb the vitamin because the stomach is not
producing sufficient amounts of a factor that allows the
vitamin tobe absorbed.”
Question 96
A client is admitted to the emergency department with a
ruptured abdominal aortic aneurysm. No family members are
present, and the surgeon instructs the nurse to take the client
to the operating room immediately. Which action should the
nurse take regarding informed consent?
You Selected:
•
Take the client to the operating room for surgery
without informed consent.
Correct response:
•
Take the client to the operating room for surgery
without informed consent.
Question 97
A nurse comingonto the night shift assesses aclientwho
gave birth vaginally that morning. The nurse finds that the
client’s vaginal bleeding has saturated two perineal pads
within 30minutes. What is the first action the nurse should
take?
You Selected:
•
Assessthe fundus and massage it if it’s boggy.
Correct response:
•
Assessthe fundus and massage it if it’s boggy.
Question 98
The nurse is caring for a client recently diagnosed with
hepatitis C. Inreviewing the client’shistory, what information
will be most helpful as the nurse develops a teaching plan?
The client:
You Selected:
•
traveled to Central America recently and ate uncooked
vegetables.
Correct response:
•
has a known history of sexually transmitted disease.
Question 99
A child with meningococcal meningitis is being admitted to
the pediatric unit. In preparation for the child’s arrival, what
shouldthe nurse do
first
?
You Selected:
•
Institute droplet precautions.
Correct response:
•
Institute droplet precautions.
Question 100
The selectionofa nursing care delivery system (NCDS) is
critical to the success of client care in a nursing area. Which
factoris essential to the evaluation of an NCDS?
You Selected:
•
identifying who will be responsible for making client
care decisions
Correct response:
•
identifying who will be responsible for making client
care decisions
Question 101
Which of the following observations by the nurse would
indicate that a client isunable totolerate a continuation ofa
tube feeding?
You Selected:
•
formula in the client’s mouth during the feeding, and
increased cough
Correct response:
•
formula in the client’s mouth during the feeding, and
increased cough
Question 102
A client undergoes a biopsy ofa suspicious lesion. The
biopsy report classifies the lesion according tothe TNM
staging system asfollows: TIS, N0, M0. What does this
classification mean?
You Selected:
•
no evidence of primary tumor, no abnormal regional
lymph nodes, and noevidence ofdistant metastasis
Correct response:
•
carcinoma in situ, no abnormal regional lymph nodes,
and noevidence of distant metastasis
Question 103
A physician has ordered a heating pad for an elderly client’s
lower back pain. Which item would be most important for a
nurse to assess before applying the heating pad?
You Selected:
•
Client’s levelof consciousness
Correct response:
•
Client’s levelof consciousness
Question 104
Which nifedipine-related side effect should the nurse
be most concerned with when caring for a new stroke
admission?
You Selected:
•
hypotension
Correct response:
•
hypotension
Question 105
A client at 27 weeks gestation experiences uterine cramping
and also secretes a small amount of bright red bleeding and
mucus. The client calls her prenatal clinic nurse. Whichof the
following recommendations is most appropriate from the
nurse?
You Selected:
•
Instruct the client to go to an emergency room for an
urgent assessment.
Correct response:
•
Instruct the client to go to an emergency room for an
urgent assessment.
Question 106
A 16-year-old primiparous client has decided to place her
baby for adoption. The adoptive parents are on their way to
the hospital when the mother says, “I want to see the baby
one last time.” What should the nurse do?
You Selected:
•
Allow the client to see and hold the baby for as long as
she desires.
Correct response:
•
Allow the client to see and hold the baby for as long as
she desires.
Question 107
A 37-week gestation client is on bed rest for gestational
hypertension. The nursing student and nurse are visiting the
client in her home and need to perform external fetal
monitoring (EFM). The student nurse asks the nurse if the
student nurse is allowed to perform this skill. What is the
nurse’s most appropriate response?
You Selected:
•
“Yes, but only after you read about the procedure in the
regional policy and procedure manual.”
Correct response:
•
“Yes, but I will demonstrate it once and then supervise
you while you perform the procedure.”
Question 108
Parents tell a nurse that they have not met their goalof home
management of their child with schizoaffective disorder. They
report that the client poses a threat to their safety. Based on
this information, what recommendation should the nurse
make?
You Selected:
•
Evaluate the client for voluntary admission to a mental
health facility.
Correct response:
•
Evaluate the client for voluntary admission to a mental
health facility.
Question 109
A client has been diagnosed with metabolic alkalosis. The
nurse should anticipate what finding from the client’s arterial
blood gases?
You Selected:
•
serum bicarbonate of 28 mEq/L
Correct response:
•
serum bicarbonate of 28 mEq/L
Question 110
A client on the adolescent psychiatric unit was admitted with
a diagnosis ofbody dysmorphic disorder. The clienthas not
been able to attend school or their part-time work over the
past year as a result of certain body obsessions. Recently,
the client shaved the hair all over their body, claiming, “It is
all growing weird.” What component of therapy would
be most important for the nurse to apply to this client?
You Selected:
•
The client is at high risk for suicide.
Correct response:
•
The client’s body image is real to the client.
Question 111
A client comes to the emergency department complaining of
chest pain. An electrocardiogram (ECG) reveals myocardial
ischemia and an anterior-wall myocardial infarction (MI).
WhichECG characteristicdoes the nurse expect to see?
You Selected:
•
prolonged PR interval
Correct response:
•
elevated STsegment
Question 112
A nurse notices that a large number of clients who receive
oxytocin to induce labor vomit as the infusion is started. The
nurse assesses the situation further and discovers thatthese
clients received no instruction before arriving on the unit and
haven’t fasted for 8 hours before induction. How should the
nurse intervene?
You Selected:
•
Initiate a unit policy involving staff nurses, certified
nurse-midwives, and physicians in teaching clients
before labor induction.
Correct response:
•
Initiate a unit policy involving staff nurses, certified
nurse-midwives, and physicians in teaching clients
before labor induction.
Question 113
A client comes to the clinic for evaluation. The client tells the
nurse, “Ihave been having headaches and dizziness. I looked
it up on the Internet, and I think I might have a brain tumor.”
The client hands the nurse a printout of what the client found.
Which response bythe nurse would be mostappropriate?
You Selected:
•
“Tell me more about where you found this information
that you gave me.”
Correct response:
•
“Tell me more about where you found this information
that you gave me.”
Question 114
During a home visit on the fourth postpartum day, a
primiparous client tells the nurse that she has been
experiencing breast engorgement. To relieve engorgement,
the nurse teachesthe client to use which intervention before
nursing her baby?
You Selected:
•
Apply anice cube to the nipples.
Correct response:
•
Express a small amount of breast milk.
Question 115
The nurse instructs the client on health maintenance
activities to help control symptoms from a hiatal hernia.
Which statement would indicate that the client has
understood the instructions?
You Selected:
•
“I will avoid lying down after a meal.”
Correct response:
•
“I will avoid lying down after a meal.”
Question 116
The parent asks the nurse about a 9-year-old child’s
apparent need for between-meal snacks, especially after
school. What information should the nurse include in the
teaching plan?
You Selected:
•
The child should eat the snacks the mother thinks are
appropriate.
Correct response:
•
The child should help with preparing the snacks.
Question 117
A client with rheumatoid arthritis tells the nurse, “Iknow it’s
important to exercise my joints so that I won’t lose mobility,
but my joints are so stiff and painful that exercising is
difficult.” Which response by the nurse would
be most appropriate?
You Selected:
•
“Stiffness and pain are part of the disease. Learn to
cope by focusing on activities you enjoy.”
Correct response:
•
“Take a warm tub bath or shower before exercising.
This may help with your discomfort.”
Question 118
The nurse assesses a child after heart surgery to correct
tetralogy of Fallot. Which finding would the nurse report to
the healthcare provider as an indication that the client has
low cardiac output?
You Selected:
•
altered level ofconsciousness and thready pulse
Correct response:
•
altered level ofconsciousness and thready pulse
Question 119
A client who is positive for human immunodeficiency virus
(HIV) tells the nurse thatthe client’s significant other is the
only family member who knows the client’s health status.
What should the nurse do to keep the client’s health status
confidential? Select all that apply.
You Selected:
•
Ask all family members, except the client’s significant
other, to wait outside when she’s educating the client.
•
Use the hospital code for HIV when documentingcare.
Correct response:
•
Use the hospital code for HIV when documentingcare.
•
Ask all familymembers, except the client’s significant
other, to wait outside when she’s educating the client.
Question 120
What should the nurse do when the client with a diagnosis of
schizophrenia walks into group naked?
You Selected:
•
Lead the client to his room and help him dress if he
needs assistance.
Correct response:
•
Lead the client to his room and help him dress if he
needs assistance.
Question 121
Oxygen at the rate of 2 liters per minute through nasal
cannula is prescribed for a client with chronic obstructive
pulmonary disease (COPD). Which of the following
statements best describes why the oxygen therapyis
maintained at a relatively low concentration?
You Selected:
•
The cells in the alveoli are so damaged by the client’s
long history of respiratory problems that increased
oxygen levels and reduced carbon dioxide levels likely
will cause the cells to burst.
Correct response:
•
The client’s respiratory center is so used to high carbon
dioxide and low oxygen levels that changing these
levels mayeliminate hisstimulus for breathing.
Question 122
A client begins clozapine therapy after several other
antipsychotic agents failtorelieve psychotic symptoms. The
nurse instructs the client toreturn for weekly white blood cell
(WBC) counts toassess for which adverse reaction?
You Selected:
•
infection
Correct response:
•
granulocytopenia
Question 123
A client states, “Ihave abdominal pain.” Which assessment
question would best determine the client’s need for pain
medication?
You Selected:
•
“What does the pain feel like?”
Correct response:
•
“What does the pain feel like?”
Question 124
When developing the preoperative teaching plan for a 14-
month-old child with an undescended testis who is
scheduled tohave surgery, which method
is most appropriate?
You Selected:
•
Explain to the parents how the defect will be corrected.
Correct response:
•
Explain to the parents how the defect will be corrected.
Question 125
The nurse plans toplace graduated compression stockings
on a client in the preoperative setting. List in order the steps
the nurse will follow. All options must be used.
You Selected:
•
Review medical record and medical orders for
graduated compression stockings.
•
Identify the client and explain procedure.
•
Place the client in supine position.
•
Apply powder orlotion tolegs.
•
Smoothly pull the stocking overthe ankle and calf.
•
Turn the stocking inside out and ease the stocking over
the foot and heel.
Correct response:
•
Review medical record and medical orders for
graduated compression stockings.
•
Identify the client and explain procedure.
•
Place the client in supine position.
•
Apply powder orlotion tolegs.
•
Turn the stocking inside out and ease the stocking over
the foot and heel.
•
Smoothly pull the stocking overthe ankle and calf.
Question 126
A client with depression states, “I’m still feeling nauseous
after I take venlafaxine. Maybe I need something else.” What
should the nurse should tell the client todo?
You Selected:
•
Take venlafaxine only in the morning.
Correct response:
•
Take the medication atmealtime.
Question 127
Which information should the nurse include in the teaching
plan for a primiparous client who asks about weaning her
neonate?
You Selected:
•
“Eliminate the baby’s favorite feeding times first.”
Correct response:
•
“Gradually eliminate one feeding at a time.”
Question 128
A grandson calls the crisis center expressing concern about
his grandmother, who lost her husband a month ago. He
states, “She’s been in bed for a week and is not eating or
showering. She told me that she didn’t want to kill herself,
but it’s not like her to do nothing for herself. She won’t even
talk to me when I visit her.” The nurse encourages the
grandson to bring his grandmother to the center for
evaluation based on which reason?
You Selected:
•
The behaviors may reflect passive suicidal thoughts.
Correct response:
•
The behaviors may reflect passive suicidal thoughts.
Question 129
When caring for a client receiving haloperidol, the nurse
should assess for which problem?
You Selected:
•
extrapyramidal symptoms
Correct response:
•
extrapyramidal symptoms
Question 130
A nurse is administering daunorubicin through a peripheral
I.V.
line whenthe client complainsof burning at the insertion
site. The nurse notes no blood return from the catheter and
redness at the I.V. site. The client is most likely experiencing
which complication?
You Selected:
•
thrombosis
Correct response:
•
extravasation
Question 131
Which nursing intervention is essential in caring for a client
with compartment syndrome?
You Selected:
•
wrapping the affected extremity with a compression
dressing tohelp decrease the swelling
Correct response:
•
removing all external sources of pressure, such as
clothing and jewelry
Question 132
A primigravid client visits the clinicfor a routine examination
at 35 weeks’ gestation. The client’s blood pressure is near
the baseline of 120/74 mm Hg with no proteinuria or
evidence of facial edema. The client asks the nurse, “What
should I take if I get an occasional headache after looking at
my computer at work all day?” Which over-the-counter
medicine does the nurse consider to be safest for occasional
use bya pregnant client with no known risks?
You Selected:
•
acetaminophen
Correct response:
•
acetaminophen
Question 133
A depressed client in the psychiatric unit hasn’t been getting
adequate rest and sleep. To encourage restful sleep at night,
the nurse should:
You Selected:
•
encourage environmental stimulation during the
evening.
Correct response:
•
gently but firmly set limits on how much time the client
spends in bed during the day.
Question 134
A client has several patches of vesicles over both arms.
Which care should the nurse provide tothis client?
You Selected:
•
Instruct on the application of an antiparasitic agent.
Correct response:
•
Cover the draining areas with sterile gauze.
Question 135
A client is frustrated and embarrassed by urinary
incontinence. Which measure should the nurse include in a
bladder retraining program?
You Selected:
•
assessing present voiding patterns
Correct response:
•
assessing present voiding patterns
Question 136
A client with a cerebellar brain tumor is admitted to an acute
care facility. The nurse formulates a nursing diagnosis of Risk
for injury. Which “related-to” phrase should the nurse add to
complete the nursing diagnosis statement?
You Selected:
•
Related tovisual field deficits
Correct response:
•
Related toimpaired balance
Question 137
A nurse suspects that a child, age 4, is being neglected.
Which question should the nurse ask the parents tobest
assess the child’s nutritional status?
You Selected:
•
“What did your child eat for breakfast?”
Correct response:
•
“What did your child eat for breakfast?”
Question 138
A medication nurse is preparing to administer 0900
medications to a client with liver cancer. Which consideration
is the nurse’s highest priority?
You Selected:
•
purpose of the medication
Correct response:
•
metabolism of the medication
Question 139
After an intravenous pyelogram (IVP), the nurse should
include which measure in the client’s plan of care?
You Selected:
•
Encourage adequate fluid intake.
Correct response:
•
Encourage adequate fluid intake.
Question 140
The nurse receives the preoperative blood work report for a
client who is scheduled toundergo surgery. Which laboratory
finding should the nurse report to the surgeon and
anesthesiologist?
You Selected:
•
blood urea nitrogen, 15 mg/dL (5.4 mmol/L)
Correct response:
•
creatinine, 2.6 mg/dL (230 µmol/L)
Question 141
For the child experiencingexcessive vomiting secondary to
pyloric stenosis, the nurse should assess the child for which
acid-base imbalance?
You Selected:
•
metabolic alkalosis
Correct response:
•
metabolic alkalosis
Question 142
Which indicator is the best for determining whether a client
with Addison’s disease isreceiving the correct amount of
glucocorticoid replacement?
You Selected:
•
daily weight
Correct response:
•
daily weight
Question 143
The client withrecurring depression will be discharged from
the psychiatric unit. Which suggestion to the family
is most important to include in the plan of care?
You Selected:
•
Provide for a schedule of activities outside the home.
Correct response:
•
Involve the client inusual at-home activities.
Question 144
During the initial assessment, the nurse notes that the
neonate’s hands and feet appear blue while the neonate’s
torso appears pale pink. Whatshould the nurse do next?
You Selected:
•
Keep the neonate in an isolation incubator for at least 2
hours.
Correct response:
•
Place the infant skin to skin with the mother.
Question 145
Which findingis normal for a client during the icteric phase of
hepatitis A?
You Selected:
•
yellowed sclera
Correct response:
•
yellowed sclera
Question 146
A nurse is working on a surgical floor. The nurse must logroll
a client following a
You Selected:
•
cystectomy.
Correct response:
•
laminectomy.
Question 147
After receiving a report, the nurse is making out assignments.
Which client would be appropriate to assign to unlicensed
assistive personnel?
You Selected:
•
an 8-month-old with pneumonia who will be discharged
today
Correct response:
•
an 8-month-old with pneumonia who will be discharged
today
Question 148
A client, with heart failure, isreceivingfurosemide,40 mgIV.
The provider orders 40 mEq ofpotassium chloride in100 ml
of dextrose
5%
in water, to infuse over four hours. The
client’s most recent serum potassium level is 3.0 mEq/L. At
which infusion rate should the nurse set the IV pump?
Record your answer using a whole number.
Your Response:
•
67
Correct response:
•
25
Question 149
A client has expressed her desire to give birth with minimal
intervention. She is now moving into the active phase of
labor. What intervention by the nurse would be the priority of
care?
You Selected:
•
watchingfor rupture of the membranes
Correct response:
•
offering support by reviewing the short-pant form of
breathing
Question 150
A 35-year-old client who is 28weeks pregnant isadmitted for
testing. After reading the nursing notes, which
rationale best explains why a pregnant client would lie on her left
side when resting or sleepinginthe later stages of pregnancy?
You Selected:
• to prevent compression of the vena cava
Correct response:
• to prevent compression of the vena cava
Question 151
The laboratory comes todraw anHgb AIc. The client asks the nurse
what this test represents. Which statement would be correct?
You Selected:
• “This test reflects the average blood glucose over a period of
approximately 2-3 months.”
Correct response:
• “This test reflects the average blood glucose over a period of
approximately 2-3 months.”
Question 152
A client who recently had a stroke requires a cane to ambulate.
When teaching about cane use, the nurse should explain that the
reason for holding a cane onthe uninvolved side is to
You Selected:
• distribute weight away from the involved side.
Correct response:
• distribute weight away from the involved side.
Question 153
A 7-year-old has had anappendectomy on November 12. He has
had pain for the last 24hours. There isa prescription toadminister
acetaminophen with codeine every 3 to 4 hours asneeded. The
nurse is beginning the shift, and the child isrequesting pain
medication. The nurse reviews the chart below for pain history.
Based onthe information inthe medical record, what should the
nurse do next?
You Selected:
• Instruct the child to take deep breaths and blow his pain away.
Correct response:
• Administer the acetaminophen with codeine.
Question 154
A nurse is conducting aneducational program about advanced
directives for a group of adults at a local community center. The
nurse explains what the directives entail and how they are used.
After explaining this topic, the nurse determines that the teaching
was successful based onwhich statement bythe group?
You Selected:
• “The document allows us to choose what we want to have
happen.”
Correct response:
• “The document allows us to choose what we want to have
happen.”
Question 155
A nurse is caring for a full-term pregnant client in active labor. The
electronic fetal monitor reveals afetalheart rate (FHR)of less than
70 beats for 1 minute. What is the nurse’s priority intervention?
You Selected:
• Place the client on her left side and apply oxygen.
Correct response:
• Place the client on her left side and apply oxygen.
Question 156
The nurse is assessing a client with thigh high antiembolism
stockings. Assessment findings include redness, swelling, and pain
in the left calf. What is the priority action by the nurse?
You Selected:
• Notify the healthcare provider.
Correct response:
• Notify the healthcare provider.
Question 157
Which client statement indicates anunderstanding of the risk of
alcohol relapse?
You Selected:
• “I know I can stay dry if my wife keeps alcohol out of the
house.”
Correct response:
• “Stopping support groups and not expressing feelings can lead
to relapse.”
Question 158
A nurse iscaring for a client who has end-stage chronic obstructive
pulmonary disease receiving I.V. push morphine for pain
management. Duringrounds, the nurse discusses with the physician
the need to start the client ona continuous morphine infusion. The
nurse bases this request on the fact that:
You Selected:
• serving as a client advocate is an important role.
Correct response:
• serving as a client advocate is an important role.
Question 159
A client with posttraumatic stress disorder states, “You don’tknow
what I’ve been through. What can you do?”The nurse should
respond:
You Selected:
• “I haven’t been through what you have, but I’ll be better able
to understandif you tell me more about it.”
Correct response:
• “I haven’t been through what you have, but I’ll be better able
to understandif you tell me more about it.”
Question 160
A client was hospitalized for 1 week with major depression with
suicidal ideation. He istaking venlafaxine 75 mgthree times a day
and is planning to return to work. The nurse asks the clientif he is
experiencing thoughts ofself-harm. The client responds, “Ihardly
think about itanymore and wouldn’t doanything tohurt myself.”
The nurse should make which judgment about the client?
You Selected:
• The depression is improving, and the suicidal ideation is
lessening.
Correct response:
• The depression is improving, and the suicidal ideation is
lessening.