Q1. A nurse is speaking with the

Q1. A nurse is speaking with the parents of a child who has been the victim of bullying. Which of the following statements is true? A. Children who are victims of bullying are eager to confide in an adult B. Physical bullying is more common than verbal bullying C. Bullying is a normal part of childhood growth and development D. A physical disability is associated with a higher risk of bullying Q2. A nurse in an emergency department is caring for a client who has major depressive disorder and is admitted with severe manifestations of serotonin syndrome. Which of the following actions should the nurse take first? A. Administer an anticonvulsant medication to the client B. Reconstitute a vial of dantrolene to administer to the client via intermittent iv infusion C. Prepare the client for artificial ventilation D. Apply a cooling blanket to the client Q3. A nurse is caring for a client who has borderline personality disorder and is currently superficially cutting her wrists. Which of the following responses should the nurse make? A. “Why do you want to hurt yourself” B. “Making yourself bleed isn’t going to solve anything” C. “Oh my goodness! Let’s have the provider look at your wrists.” D. “Share with me your thoughts leading up to the cutting.” Q4. A nurse is providing teaching about risk factors to the parent of a child who has a new diagnosis of ADHD. Which of the following risk factors should the nurse include in the teaching? A. Formula-feeding as an infant B. History of head trauma C. History of post-term birth D. Tonsillectomy Q5. A nurse is caring for a woman who has undergone a radical mastectomy for breast cancer. She tells the nurse, “I am worried because my spouse won’t touch me since my breast was removed.” Which of the following is the most appropriate response by the nurse? A. Your husband should be relieved that your surgery went well B. I will ask your doctor to speak to your spouse C. How do you feel about your mastectomy D. Counseling may be beneficial for you and your spouse Q6. Amitriptyline is prescribed for a client with a migraine. Which of the following should the nurse implement after administering this medication (select all that apply) A. Provide chewing gum B. Increase fluid intake C. Monitor for dyspnea D. Monitor for diarrhea E. Assess for constipation F. Encourage to change positions slowly G. Assess for hypertension H. Assess for blurred vision Q7. A nurse is caring for a preschooler who has a new diagnosis of ADHD. When teaching the child’s guardian about this disorder, which of the following statements should the nurse include in the teaching? A. Behaviors associated with ADHD are present prior to age 3 B. Children who have ADHD typically have many peer relationships C. Below-average intellectual functioning is associated with ADHD D. Because of this disorder, your child is at increased risk for injury Q8. A client with bipolar disorder has been taking lithium for 3 years. She and her partner are attempting to conceive a child. How should she be advised concerning her medication? A. Lithium does not cross the placenta, so there is no risk of teratogenicity B. Lithium is a frequent cause of false-postive pregnancy tests C. Lithium should be stopped immediately after the first trimester D. Lithium poses few risks to the fetus in the second and third trimester Q9. A nurse is reviewing the concept of ageism with a newly licensed nurse. Which of the following information should the nurse include? A. Ageism refers to the high level of respect that some cultures give to their elders B. Ageism refers to the stereotypes that older adults are not able to understand new information C. Ageism refers to assumptions about older adults based on gender and economic status Q10. A nurse is assessing a client with major depressive disorder who exhibits psychomotor retardation, a flat affect, and apathy. The nurse observes the client to be in need of grooming and hygiene. Which of the following nursing actions is most appropriate? A. Explaining the importance of hygiene to the client B. Asking the client if he is ready to take a shower C. Waiting until the client’s family can participate in the client’s care D. Stating to the client that it is time for him to take a shower Q11. A nurse is explaining carbohydrate counting to a japanese-american client with diabetes mellitus. The client smiles and nods during the teaching. The nurse interprets this nonverbal response as which of the following? A. The client accepts the need for dietary control B. The client agrees to count carbohydrates C. The client’s response may reflect a cultural norm

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