Which assessment should a nurse do prior to administering disulfiram (Antabuse) to a client with a history of alcohol abuse?

A client is diagnosed with pneumonia. Which nursing diagnosis would take priority for this client?

A nurse observes school-age children playing. Playing with which toy is typical of this age group?

A nurse is teaching the mother of a neonate with a cleft palate how to feed him. Which instruction should the nurse give the mother?

A full-term neonate was just admitted to the transitional nursery. He has a large meningomyelocele covered by an intact sac. The nurse knows immediately to place this neonate on his stomach with hips slightly elevated. Which statement describes the rationale for this position?

A client with dissociative identity disorder frequently switches from one personality to another. The nurse can identify the switch by which finding?

A newly graduated nurse is caring for a client recently diagnosed with dissociative identity disorder. The nurse asks the preceptor about discussing the client’s traumatic childhood with the client. Which advice from the preceptor is best?

A client with schizophrenia has been prescribed risperidone (Risperdal). The client’s symptoms include hallucinations, delusions, and withdrawal. A nurse explains that the medication will help improve which symptoms?

A schizophrenic client states, “The voices keep talking to me. They’re telling me that I have to leave here and that I shouldn’t talk to you. Don’t you hear what they’re saying?” Which response is best?

A client complains of chronic lower back pain and fatigue and has seen multiple care providers without relief of symptoms. The client insists that something is “terribly wrong.” Which action should the nurse take first?

Which sign alerts a nurse to a possible mild toxic reaction in a client receiving lithium for manic episodes of manic-depressive illness?

A client’s condition is becoming stabilized after an episode of substanceinduced delirium. During the initial recovery period, the nurse should assess the client for which psychosocial health problem?

A client with a history of depression demonstrates some inconsistent symptoms of cognitive impairment. The nurse should expect which situation when the depression is treated?

The nurse is teaching caregivers about the signs and symptoms of schizophrenia relapse. Which response by the caregivers about the signs and symptoms to report to a mental health professional indicates that the teaching has been effective?

A client with borderline personality disorder has extreme views of himself and his situation. Which behavior indicates that the client is a candidate for medication?

A client with a substance abuse disorder says the problem doesn’t really exist. Which intervention should be the nurse’s initial one?

A nurse is evaluating drug therapy effectiveness in a client undergoing alcohol detoxification. Which finding indicates that drug therapy needs to be adjusted?

A nurse is teaching a client with an eating disorder about cues that trigger unhealthy eating behaviors. Which example represents a social cue?

A client has traits of an avoidant personality disorder. Which family intervention should the nurse give the highest priority in the care plan?

The nurse is assessing a client with schizophrenia who exhibits negativism, rigidity, excitement, stupor, and posturing. The nurse suspects that the client has which type of schizophrenia?

A client with bipolar disorder is taking lithium and tells the nurse, “I can stop taking the medicine when I feel better.” Which response by the nurse is best?

During a routine examination, the mother of a 3-month-old child asks the nurse, “How soon will she have her first tooth?” Which response by the nurse would be the most accurate as to the age by which the first tooth usually erupts?

A nurse is assessing an infant’s growth and development. Which action by the nurse indicates the best understanding of a 4-month old’s stage of growth and development?

The nurse is caring for an 11-year-old client with cerebral palsy who has a pressure ulcer on the sacrum. When teaching the client’s mother about dietary intake, which foods should the nurse plan to emphasize?

A nurse assesses an 18-month-old toddler. Which activity would indicate to the nurse that the child is exhibiting normal growth and development patterns?

A 23-year-old female client is seen in the emergency department for rape. The woman is very calm and appears emotionally unaffected by the event. Which assessment of the client’s behavior is appropriate?

A nurse explains the unit’s rules to a client with bulimia nervosa. Which action by the client indicates that learning has occurred?

Which statement is an example of a key element in a nursing care plan?

A 38-year-old female client is scheduled to have a hysterectomy and is concerned about no longer being a “whole woman.” Which intervention by the nurse is best?

A nurse is caring for a client in active labor. Which observation would cause the nurse to suspect fetal distress?